Individual
MR. SEAN LEE BOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 364-3047
Mailing address
355 GLEN CREEK RD NW APT 60, SALEM, OR 97304-3068
(971) 283-5490
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-CRM-434
OR
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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