Individual
DR. FREDERICK PETER BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
(541) 383-1883
Mailing address
375 NW BEAVER ST, SUITE 101, PRINEVILLE, OR 97754-1802
(541) 447-0707
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11489
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230540
—
OR
Enumeration date
12/19/2005
Last updated
07/27/2015
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