Provider Demographics
NPI:1467584755
Name:BOWMAN, ANN- MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN- MARIE
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ANN- MARIE
Other - Middle Name:
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1214 NE 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-6111
Mailing Address - Country:US
Mailing Address - Phone:503-251-2763
Mailing Address - Fax:
Practice Address - Street 1:219 W MAGNOLIA ST STE 120
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2927
Practice Address - Country:US
Practice Address - Phone:503-758-7478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000019461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical