Individual provider Active NPI

Aubrey Bowen

  • Licensed Practical Nurse
  • Vancouver, WA
National Provider Identifier
1073082475
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2001230075LPN Issued in OR
Practice address
2009 NE 117TH St Ste 101
Vancouver, WA 98686-4022
Phone
(360) 566-9112
NPI assigned
Nov 15, 2018
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2001230075LPN OR Primary

Addresses

Primary practice location

2009 NE 117TH St Ste 101
Vancouver, WA 98686-4022

Mailing address

2009 NE 117TH St Ste 101
Vancouver, WA 98686-4022
Phone (360) 360-2732

Other practice location 1

324 NW Davis St
Portland, OR 97209-3925
Phone (503) 226-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2001230075LPNORMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1073082475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 NE 117TH ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864022",
            "telephone_number": "360-360-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 NE 117TH ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864022",
            "telephone_number": "360-566-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 NW Davis St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972093925",
            "country_code": "US",
            "telephone_number": "503-226-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "AUBREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "2001230075LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.