Individual
DENISE EILEEN BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24104 NE HOLLADAY ST, WOOD VILLAGE, OR 97060-2938
(503) 740-9155
Mailing address
24104 NE HOLLADAY ST, WOOD VILLAGE, OR 97060-2938
(503) 740-9155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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