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NPI Code Detail

MEDICARE: CHRIS J BOWMAN D.M.D.

MEDICARE:   CHRIS J BOWMAN  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodonticsD7105OR

General Provider Information

NPI Number : 1457369969
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS J BOWMAN D.M.D.
Provider Business Mailing Address
First Line : 830 LIBERTY ST NE
Second Line :
City : SALEM
State : OR
Zip : 97301-2450
Country : US
Telephone Number : 503-585-3636
Fax Number : 503-362-0377
Provider Business Practice Location Address
First Line : 830 LIBERTY ST NE
Second Line :
City : SALEM
State : OR
Zip : 97301-2450
Country : US
Telephone Number : 503-585-3636
Fax Number : 503-362-0377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 08/04/2010

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Directions to “ CHRIS J BOWMAN D.M.D.” Practice Location

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