Individual
KATHLEEN BOSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7480
(541) 881-7186
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7480
(541) 881-7186
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
082009803RN
OR
136A00000X
Registered Dietetic Technician
N-15520
ID
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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