Individual
ANGELA KATHRYN BOHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MD153871
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.201620
LA
Other
Enumeration date
12/17/2007
Last updated
11/29/2022
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