Individual
JAY A BOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8950 SW NIMBUS AVENUE, BEAVERTON, OR 97008
(503) 643-7226
(503) 626-5239
Mailing address
8950 SW NIMBUS AVENUE, BEAVERTON, OR 97008
(503) 643-7226
(503) 626-5239
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD12937
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117507
—
OR
Enumeration date
11/21/2006
Last updated
03/28/2012
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