Individual
DANA ELIZABETH BOONSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
995 WILLAGILLESPIE RD STE 100, EUGENE, OR 97401-2186
(541) 484-5437
Mailing address
2720 WASHINGTON ST, EUGENE, OR 97405-2765
(541) 517-6520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202114248NP-PP
OR
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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