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Individual

DR. MAGGIE E BOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2023000989
MO
208600000X
Surgery Physician
MD220258
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200119070
MO
Enumeration date
03/19/2018
Last updated
08/18/2025
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