Provider Demographics
NPI:1548831852
Name:BOWMAN, AMBER (ACAS, PCA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:ACAS, PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 HIGHWAY 101 N STE 202
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:OR
Mailing Address - Zip Code:97138-4344
Mailing Address - Country:US
Mailing Address - Phone:503-470-1743
Mailing Address - Fax:
Practice Address - Street 1:2609 HIGHWAY 101 N STE 202
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:OR
Practice Address - Zip Code:97138-4344
Practice Address - Country:US
Practice Address - Phone:503-470-1743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR8111101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health