Individual
DR. ERIC BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3819
Mailing address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3819
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00034744
WA
207X00000X
Orthopaedic Surgery Physician
Primary
MD18558
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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