Matthew Edgar Bowman, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000003675 Issued in OR

Practice address

1785 N Front St
Woodburn, OR 97071-9799

Phone

(503) 980-6284

NPI assigned

May 2, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1033966577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 MERIDIAN DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719668",
            "telephone_number": "503-981-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 N FRONT ST",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719799",
            "telephone_number": "503-980-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "MATTHEW",
        "middle_name": "EDGAR",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "2000003675",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "AT-AT-10144482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Joyce Bocking, LPC
• Joseph Bosquez, CADC
• Brandi Janeece Bowling
• Kathryn Rene Bowman, DMD
• Mary Beth Bowman, D.M.D.
• Stacy Boyd
• Jennifer E Brady, LMT, NCMMT
• Jasmine Brayton
• Brian G Orahood
• Lesley Margaret Brighton, FNTP, PC

• Athletic Trainer in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Athletic Trainer in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.