Provider Demographics
NPI:1336919547
Name:BOWSER, JOHANNA JOY
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:JOY
Last Name:BOWSER
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 1:719 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-2899
Mailing Address - Country:US
Mailing Address - Phone:719-453-2447
Mailing Address - Fax:
Practice Address - Street 1:719 N 9TH ST
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-2899
Practice Address - Country:US
Practice Address - Phone:719-453-2447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula