| Doctor Name: | JON DENNIS LOWELL |
| NPI Number: | 1790972321 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA10005262 |
| Business Practice Address: | 2304 Sw Indian Mary Ct Troutdale, OR - 970601769 |
| Business Phone Number: | 5034656591 |
| Business Fax Number: | |
| Mailing Address: | 2304 Sw. Indian Mary Court, TROUTDALE |
| State: | OR |
| Postal Code: | 97060 |
| Phone Number: | 5034656591 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10005262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |