Individual
SHANTI LEE BOHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202006736RN
OR
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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