Individual
MR. CHRISTOPHER BRICE BOUFFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1698 E MCANDREWS RD STE 160, MEDFORD, OR 97504-5590
(541) 732-7874
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7874
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA209384
OR
Other
Enumeration date
02/14/2022
Last updated
03/24/2022
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