MEDICARE: DR. JAMES PHILIP LOWRY MD

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
1	207RC0000X	Cardiovascular Disease Physician	MD18828	OR
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	MD18828	OR

General Provider Information

NPI Number	:	1457352296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES PHILIP LOWRY MD

Provider Business Mailing Address
First Line	:	PO BOX 13129
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97309-1129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 OAK ST SE BLDG C
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-3975
Country	:	US
Telephone Number	:	503-814-2483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/11/2019

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