Provider Demographics
NPI:1316312283
Name:SOWLES, JOHN (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:SOWLES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 SW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013-3832
Mailing Address - Country:US
Mailing Address - Phone:503-266-2081
Mailing Address - Fax:503-263-3255
Practice Address - Street 1:911 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-3832
Practice Address - Country:US
Practice Address - Phone:503-266-2081
Practice Address - Fax:503-263-3255
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0007446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist