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Nicole Marie Cowart, CFM
Mastectomy Fitter in The Dalles, Oregon
NPI 1760001648

Nicole Marie Cowart is a Mastectomy Fitter based in The Dalles, OR. Nicole Marie Cowart practices in The Dalles, OR and has the professional credentials of CFM. The NPI Number for Nicole Marie Cowart is 1760001648 and holds a License No. CFM01332 (Oregon).

The current practice location address for Nicole Marie Cowart is 500 Washington St, The Dalles, OR and can be reached out via phone at 541-370-2350.

Location: 500 Washington St, The Dalles, OR, 97058-0746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760001648
Provider Name
Nicole Marie Cowart
Credential
CFM
Provider Entity Type
Individual
Gender
Female
Address
500 Washington St, The Dalles, OR, 97058-0746
Phone Number
541-370-2350
Fax Number
Provider Enumeration Date
04/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Washington St
City
The Dalles
State
Oregon
Zip
97058-2217
Phone Number
541-370-2350
Fax Number
person
Provider Business Mailing Address Details
Address
500 Washington St
City
The Dalles
State
Oregon
Zip
97058-2217
Phone Number
541-370-2350
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
CFM01332 (Delaware)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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