Bowden, Tachelle Lynne
Bowden, Tachelle Lynne is an individual health care provider with primary practice located at 5025 Se 28Th Ave , Portland OR 97202-4445. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Bowden, Tachelle Lynne can be contacted via phone (503) 238-4418.Contact Information
Primary practice address
5025 Se 28Th Ave
Portland OR 97202-4445
Phone: (503) 238-4418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 114922 | Oregon |
Profile Details
| NPI number | 1639207046 |
|---|---|
| LBN Legal business name | Bowden, Tachelle Lynne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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