Provider Demographics
NPI:1184129173
Name:BOWSER, ERIC ALAN
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:ALAN
Last Name:BOWSER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 RASOR AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-3206
Mailing Address - Country:US
Mailing Address - Phone:864-436-7771
Mailing Address - Fax:
Practice Address - Street 1:1400 LAKE DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2833
Practice Address - Country:US
Practice Address - Phone:541-461-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist