Individual
DR. ROBERT J BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 TATONE STREET, BOARDMAN, OR 97818
(541) 481-7212
(541) 481-2020
Mailing address
PO BOX 397, BOARDMAN, OR 97818
(541) 481-7212
(541) 481-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00017375
OR
207R00000X
Internal Medicine Physician
Primary
MD09837
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004015
—
OR
Enumeration date
08/30/2005
Last updated
05/04/2012
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