Provider Demographics
NPI:1083911663
Name:BOWMAN, JAMES SCOTT (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SCOTT
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:SCOTT
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1009 NW HOYT ST UNIT 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-3220
Mailing Address - Country:US
Mailing Address - Phone:503-964-9096
Mailing Address - Fax:503-212-0316
Practice Address - Street 1:1009 NW HOYT ST UNIT 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3220
Practice Address - Country:US
Practice Address - Phone:503-964-9096
Practice Address - Fax:503-212-0316
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4079111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor