James Robert Bowles, CRNA,MA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Damascus, OR

NPI 1699888552 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1699888552
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Practice address
22225 SE Peggy Ann Dr.
Damascus, OR 97089
Phone
(503) 658-4399
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse, Master of Arts

State licenses

LicenseStateTypeSpecialty
OR 087006885CRNAORMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X OR Yes

Addresses

Primary practice location

22225 SE Peggy Ann Dr.
Damascus, OR 97089

Mailing address

22225 SE Peggy Ann Dr.
Boring, OR 97089
Phone (503) 658-4399

Other providers in Damascus, OR

All providers in Damascus, OR · Certified Registered Nurse Anesthetist in Oregon

Sources for this page

Verify at the official NPI Registry.