Elizabeth Jocelyn Bowen, M.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

693 12TH St. SE.
Suite #210
Salem, OR 97301

Phone

(503) 383-1248

Fax

(503) 217-6526

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Jocelyn Olsen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1073248001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 SW BELL RD.",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "97140",
            "telephone_number": "971-712-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 12TH ST. SE.",
            "address_2": "SUITE #210",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-383-1248",
            "fax_number": "503-217-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ELIZABETH",
        "middle_name": "JOCELYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OLSEN",
            "middle_name": "JOCELYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Francine Helen Boullosa, PHYSICIAN ASSISTANT
• James M Bourdet, PT
• Nancy S Boutin, M.D.
• Mark David Boutros, PT, DPT
• Ashleh Dawn Bowen
• Kameron Jay Bowen, THW CHW PSS
• Kimberly Rachel Bowen, M.S. CCC-SLP
• Michael J Bowen, M.D.
• Pamela Ann Bowen, PT
• Deanna K Bower, D.O.

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.