Larry Bowden, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7907 Issued in OR

Practice address

17720 Jean Way
Lake Oswego, OR 97035-5394

Phone

(503) 675-7300

Fax

(503) 675-7305

NPI assigned

Aug 23, 2005

Reactivated

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093708265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17720 JEAN WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355394",
            "telephone_number": "503-675-7300",
            "fax_number": "503-675-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 JEAN WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355394",
            "telephone_number": "503-675-7300",
            "fax_number": "503-675-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "LARRY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisa Borecki
• Kari Borgen
• Lilian Renata Bornio Carrillo
• Pamela K Bosa, NP
• Carlie Boswell
• Jessica Rochelle Bradburn, M.A.
• John Rodgers Braddock, M.D.
• Shannon Braden, ND
• Jacqueline Bradford, MA, MFT, NCC
• Bradley E Sievert DMD PC

• General Practice Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.