Provider Demographics
NPI:1558170357
Name:BOWERS, BRIAN THOMAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:THOMAS
Last Name:BOWERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SW 30TH STREET
Mailing Address - Street 2:147 MAGRUDER HALL
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97331
Mailing Address - Country:US
Mailing Address - Phone:541-737-6931
Mailing Address - Fax:541-737-9487
Practice Address - Street 1:700 SW 30TH STREET
Practice Address - Street 2:147 MAGRUDER HALL
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97331
Practice Address - Country:US
Practice Address - Phone:541-737-6931
Practice Address - Fax:541-737-9487
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0012897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist