Individual
DR. THOMAS BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, RDN, LDN
Contact information
Practice address
2455 FIELDCRESS RD, EUGENE, OR 97403-3255
(541) 505-7758
(541) 505-7758
Mailing address
2455 FIELDCRESS RD, EUGENE, OR 97403-3255
(541) 505-7758
(541) 505-7758
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
10177915
OR
133NN1002X
Nutrition Education Nutritionist
10177915
OR
133V00000X
Registered Dietitian
Primary
10177915
OR
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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