Individual
ROGER BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17336 SW MERLO RD, BEAVERTON, OR 97003-4208
(503) 550-7798
Mailing address
17336 SW MERLO RD, BEAVERTON, OR 97003-4208
(503) 550-7798
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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