Individual
DAVID R BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, SW WASHINGTON MEDICAL CENTER, VANCOUVER, WA 98664
(360) 514-2000
Mailing address
4530 SW FAIRHAVEN DR, PORTLAND, OR 97221-2610
(503) 224-0702
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00029739
WA
207UN0902X
Nuclear Imaging & Therapy Physician
29739
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075449
—
WA
Enumeration date
05/06/2006
Last updated
05/02/2018
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