Provider Demographics
NPI:1093098964
Name:BOWERS, SABRINA MARIA (CNM)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIA
Last Name:BOWERS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:MARIA
Other - Last Name:MANWILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4825
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-4825
Mailing Address - Country:US
Mailing Address - Phone:360-882-2778
Mailing Address - Fax:
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:719-290-6811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CNM0672176B00000X
WAAP61104276367A00000X
COAPN.0170022.CNM367A00000X
OR202004195NP-PP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife