IndividualActive
Jila Bowman, DDS
NPI 1417169178 · Periodontics · Salem, OR
Provider details
- NPI number
- 1417169178
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D7919 (OR)
Specialties & taxonomies
Dental Providers
Practice location
2300 Lancaster Dr Ne
Salem, OR 97305-1223
Phone: (503) 370-4313
Fax: (503) 375-5737
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Lancaster Dr Ne
Salem, OR 97305-1223
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.