Individual
DIANA KATHRYN BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, SUITE MT 2800, PORTLAND, OR 97225-6603
(503) 216-2621
Mailing address
9205 SW BARNES RD, SUITE MT 2800, PORTLAND, OR 97225-6603
(503) 216-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27265
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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