Healthcare Provider Details

I. General information

NPI: 1285658625
Provider Name (Legal Business Name): ANN PAULINE BOWERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANN P. BOWERS-QUESADA MD

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/19/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 G ST
SPRINGFIELD OR
97477-4112
US

IV. Provider business mailing address

PO BOX 11840
WESTMINSTER CA
92685-1840
US

V. Phone/Fax

Practice location:
  • Phone: 541-726-4400
  • Fax:
Mailing address:
  • Phone: 800-511-4875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD19521
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberMD19521
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD61119692
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD61119692
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: