Bowers, Blake Raymond

Bowers, Blake Raymond is an sole proprietor health care provider with primary practice located at 1988 Newmark Ave , Coos Bay OR 97420-2911. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bowers, Blake Raymond can be contacted via phone (541) 888-7430.

Contact Information

Primary practice address
1988 Newmark Ave Coos Bay OR 97420-2911
Phone: (541) 888-7430
Fax: (541) 888-7196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-AT-367795 Oregon

Profile Details

NPI number 1497889422
LBN Legal business name Bowers, Blake Raymond
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497889422 NPPES
Oregon Other AT-AT-367795 OREGON HEALTH LICENSING O

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