MR. DEREK NEIL BOWERS ACNP-BC NPI 1417284175

NPI Information

  • NPI: 1417284175
  • Provider Name: MR. DEREK NEIL BOWERS, ACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2836 NE BRYCE ST
    PORTLAND, OR
    ZIP 97212
  • Phone: (615) 330-2032

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NPI Details

MR. Derek Neil Bowers, ACNP-BC is an acute care nurse practitioner in Portland, OR with 17 years of experience. MR. Derek Neil Bowers, ACNP-BC NPI is 1417284175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2836 NE BRYCE ST
PORTLAND, OR
ZIP 97212-640
Phone: (615) 330-2032

The NPI 1417284175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 6/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care14568TENNESSEENo
2363LA2100XNurse PractitionerAcute Care201150020NPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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