Individual
AMBER BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4730 VILLAGE PLAZA LOOP STE 145, EUGENE, OR 97401-6679
(541) 654-0802
Mailing address
4730 VILLAGE PLAZA LOOP STE 145, EUGENE, OR 97401-6679
(541) 654-0802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63790
OR
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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