| 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 |