Individual
DR. PHILIP MANNING BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 SE LAKE RD STE 325, MILWAUKIE, OR 97222-2185
(503) 786-1711
(503) 786-9919
Mailing address
PO BOX 19134, PORTLAND, OR 97280-0134
(503) 245-5142
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD20092
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226895
OMAP PROVIDER #
OR
Enumeration date
06/29/2006
Last updated
06/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us