Organization
DR BOB HEALTH CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE OKSENHOLT DO (PHYSCIAN)
(503) 432-5124
Entity
Organization
Contact information
Practice address
16325 SW SEXTON MOUNTAIN DR, BEAVERTON, OR 97007
(503) 268-1631
Mailing address
3489 NW HIGHWAY 101, LINCOLN CITY, OR 97367
(503) 432-5124
(541) 994-7102
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17321
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050034
—
OR
Enumeration date
04/09/2013
Last updated
04/09/2013
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