Individual
MARK BOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 220-1000
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
R3478
TX
Other
Enumeration date
04/15/2014
Last updated
09/13/2018
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