Provider Demographics
NPI:1083649974
Name:LOWRY, MEREDITH L (DO)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:L
Last Name:LOWRY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 CLEAR CREEK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1897
Mailing Address - Country:US
Mailing Address - Phone:541-482-8314
Mailing Address - Fax:541-482-1739
Practice Address - Street 1:153 CLEAR CREEK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1897
Practice Address - Country:US
Practice Address - Phone:541-482-8314
Practice Address - Fax:541-482-1739
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORDO15171204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR286762Medicaid