Doctor Name: | MS. FORREST-ANNE BOWMAN |
NPI Number: | 1245610930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 61112 |
Business Practice Address: | 6040 Se Belmont St Portland, OR - 972151974 |
Business Phone Number: | 5032317166 |
Business Fax Number: | |
Mailing Address: | 285 Nw Island Cir Apt B3, BEAVERTON |
State: | OR |
Postal Code: | 970068336 |
Phone Number: | 3186555961 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 61112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |