Provider Demographics
NPI:1447138185
Name:BOWERS, EARL LAYMAN JR (CRM)
Entity type:Individual
Prefix:
First Name:EARL
Middle Name:LAYMAN
Last Name:BOWERS
Suffix:JR
Gender:M
Credentials:CRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-2601
Mailing Address - Country:US
Mailing Address - Phone:541-767-4197
Mailing Address - Fax:
Practice Address - Street 1:75 S 5TH ST
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-2008
Practice Address - Country:US
Practice Address - Phone:541-767-4197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24-CRM-3760163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)