Individual
BOSTEN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
306 OAK ST, SILVERTON, OR 97381-1719
(503) 874-6047
Mailing address
4466 BRIAR KNOB LOOP NE, SCOTTS MILLS, OR 97375-9637
(541) 550-9695
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC212490
OR
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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