Individual
HADJER BOUNAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 N MAIN ST, LEBANON, OR 97355-2870
(541) 451-7940
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO218800
OR
207Q00000X
Family Medicine Physician
UO5384
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/13/2014
Last updated
06/19/2024
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