| Kristen Bowman, RD | |
| 
					749 Rabbit Run St, Stayton, OR 97383-1697  | |
| (503) 551-6897 | |
| Not Available | 
| Full Name | Kristen Bowman | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 749 Rabbit Run St, Stayton, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578160784 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-D-000866 (Oregon) | Primary | 
| Provider Name | Zipongo Health Provider Group P.a. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1972146694 PECOS PAC ID: 0547666448 Enrollment ID: O20221110000403  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kristen Bowman, RD 749 Rabbit Run St, Stayton, OR 97383-1697 Ph: (503) 551-6897  | Kristen Bowman, RD 749 Rabbit Run St, Stayton, OR 97383-1697 Ph: (503) 551-6897  | 
Mrs. Korinne Lynn Mcveety, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-4380 Fax: 503-769-8563  | |
Donna Jean Gormley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-4380 Fax: 503-769-8563  | |
Mr. Christopher Fu, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9223  |