Provider Demographics
NPI:1790469260
Name:LOWISZ, MALGORZATA
Entity Type:Individual
Prefix:
First Name:MALGORZATA
Middle Name:
Last Name:LOWISZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14930 SW CONOR CIR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-5844
Mailing Address - Country:US
Mailing Address - Phone:708-790-0615
Mailing Address - Fax:
Practice Address - Street 1:14930 SW CONOR CIR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-5844
Practice Address - Country:US
Practice Address - Phone:708-790-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201601719RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse