Provider Demographics
NPI:1891551677
Name:ANN-MARIE BOWMAN LCSW
Entity type:Organization
Organization Name:ANN-MARIE BOWMAN LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-758-7478
Mailing Address - Street 1:6330 MAVERICK AVE
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547-2342
Mailing Address - Country:US
Mailing Address - Phone:503-758-7478
Mailing Address - Fax:
Practice Address - Street 1:6330 MAVERICK AVE
Practice Address - Street 2:
Practice Address - City:TIMNATH
Practice Address - State:CO
Practice Address - Zip Code:80547-2342
Practice Address - Country:US
Practice Address - Phone:503-758-7478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center