Individual
MR. GAVIN D BOLDIZSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 MLK JR BLVD, EUGENE, OR 97401-5824
(541) 682-3550
Mailing address
2765 NW ORCHARD HEIGHTS AVE, ALBANY, OR 97321-1397
(541) 760-8845
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW00019404
OR
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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