Individual
DORIS LYNN BOSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNOR
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(415) 682-7453
Mailing address
36916 WALLACE CREEK RD, SPRINGFIELD, OR 97478-8542
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200940749RN
OR
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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