Individual
BROGAN BOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
890 OAK ST SE, SALEM, OR 97301-3905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65189
OR
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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