Individual
CLAIRE BOENISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20395 NE SUNNYCREST RD, NEWBERG, OR 97132-6720
(503) 719-9281
Mailing address
20395 NE SUNNYCREST RD, NEWBERG, OR 97132-6720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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