Individual
DR. SHELLY E BOELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD CCC-A
Contact information
Practice address
3550 SW BOND AVE, SUITE 173, PORTLAND, OR 97239-4507
(503) 688-6590
(503) 688-6595
Mailing address
3550 SW BOND AVE, SUITE 173, PORTLAND, OR 97239-4507
(503) 688-6590
(503) 688-6595
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22552
OR
Other
Enumeration date
09/01/2007
Last updated
06/15/2013
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