Provider Demographics
NPI:1245453315
Name:LOWDERMILK, MARY FRANCES T L (MD)
Entity type:Individual
Prefix:DR
First Name:MARY FRANCES
Middle Name:T L
Last Name:LOWDERMILK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARY FRANCES
Other - Middle Name:B
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19875 SW 65TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8353
Mailing Address - Country:US
Mailing Address - Phone:503-692-7785
Mailing Address - Fax:503-692-2388
Practice Address - Street 1:19875 SW 65TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8353
Practice Address - Country:US
Practice Address - Phone:503-692-7785
Practice Address - Fax:503-692-2388
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60603364207Q00000X
ORMD197413207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine