Carlye Bolstad PA-C

NPI 1528362159 - Physician Assistant - 363AM0700X

NPI Details
NPI 1528362159
Gender Female
Enumeration Date 12/21/2010
Last Updated 05/08/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
217 DIVISION AVE
EUGENE OR, 97404-5429, US
Phone (541) 688-3000
Fax
Business Location
217 DIVISION AVE
EUGENE OR, 97404-5429, US
Phone (541) 688-3000
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Oregon
License Number PA159424
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According to our database, Carlye Bolstad PA-C NPI is 1528362159, taxonomy code is 363AM0700X and license number is PA159424, license state is located at Oregon. Carlye Bolstad PA-C physically located at 217 Division Ave, Eugene OR, 97404-5429. NPI Number Carlye Bolstad PA-C has the Individual type.

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1528362159 NPI number is provided on an as is basis without warranty of any kind. 1528362159 is maintained by the National Plan & Provider Enumeration System. The contents of Carlye Bolstad PA-C are for informational purposes only.