Lindsay Bohnert PA

NPI 1770987307 - Physician Assistant - 363A00000X

NPI Details
NPI 1770987307
Gender Female
Enumeration Date 10/10/2014
Last Updated 07/20/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
6464 SW BORLAND RD
SUITE C-1
TUALATIN OR, 97062-8876, US
Phone (503) 885-1515
Fax (503) 885-1520
Business Location
6464 SW BORLAND RD
SUITE C-1
TUALATIN OR, 97062-8876, US
Phone (503) 885-1515
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085.005231
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According to our database, Lindsay Bohnert PA NPI is 1770987307, taxonomy code is 363A00000X and license number is 085.005231, license state is located at Illinois. Lindsay Bohnert PA physically located at 6464 Sw Borland Rd, Tualatin OR, 97062-8876. NPI Number Lindsay Bohnert PA has the Individual type.

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1770987307 NPI number is provided on an as is basis without warranty of any kind. 1770987307 is maintained by the National Plan & Provider Enumeration System. The contents of Lindsay Bohnert PA are for informational purposes only.