Individual
MRS. MELINDA BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 5TH AVE SW, ALBANY, OR 97321-0052
(541) 926-2203
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 750-1132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11322
OR
Other
Enumeration date
07/14/2017
Last updated
05/23/2023
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