Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114266368 Individual Practitioner Female Practitioner

Summer Sky Bowman , LMT

Specialist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Summer Bowman, LMT is a registered healthcare professional specializing in Specialist in Portland, OR. Practice services are available at 511 SW 10TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

511 Sw 10th Ave
Suite 1108

Portland, OR 972052732

Telephone 5032246800
Fax 9712751964
Associated Practice Facility / Clinic
🏢 Glasser Wulff Inc Facility NPI 1962587246

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.2 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
410 Specialists

Practicing in Portland, OR (1153 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 11990

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1033357454

Licensed Massage Therapist

NPI 1043642499

Licensed Massage Therapist

Matthew Ramos , LMT

Massage Therapist

NPI 1134587462

Licensed Massage Therapist

NPI 1184073496
NPI 1194180604

Licensed Massage Therapist

Drew Barrios

Specialist

NPI 1336524206

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 19, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address October 19, 2017

Registered at 237 STATE ST, SALEM, OR 973013445 (Tel: 5035811087)

📍
Updated Practice Location October 19, 2017

Registered at 511 SW 10TH AVE, SUITE 1108, PORTLAND, OR 972052732 (Tel: 5032246800)

👤
Provider Name / Credentials Updated October 19, 2017

Recorded as SUMMER BOWMAN, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2017

Specialist (License #11990 in OR)

NPI Profile Active February 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2013

Registered at 511 SW 10TH AVE, SUITE 1108, PORTLAND, OR 972052732 (Tel: 5032246800)

📍
Updated Business Mailing Address February 07, 2013

Registered at 511 SW 10TH AVE, SUITE 1108, PORTLAND, OR 972052732 (Tel: 5032246800)

👤
Provider Name / Credentials Updated February 07, 2013

Recorded as SUMMER BANGERT, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2013

Specialist (License #11990 in OR)

🟢
Initial NPI Registration & Enumeration February 07, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114266368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2013
Last Update: October 19, 2017
Sole Proprietor: No

Mailing Address

237 State St

Salem, OR 973013445

Phone: 5035811087

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.