Individual
MS. FRANCINE HELEN BOULLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(503) 361-5400
(503) 763-5972
Mailing address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(503) 361-5400
(503) 763-5972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00124
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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