JUSTICE BOWDLE
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1265193486- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 18765 SW BOONES FERRY RD STE 100, TUALATIN, OR, 970628607
- Phone
- (503) 612-1000
Specialties & Taxonomies
Behavior Technician
Primary License: OR #10219921