Individual
CYNTHIA ANN BOHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
507 NE 47TH AVE, SUITE 200, PORTLAND, OR 97213-2236
(503) 215-2300
(503) 215-2283
Mailing address
975 SE SANDY BLVD, SUITE 200, PORTLAND, OR 97214-1308
(503) 963-2846
(503) 963-9505
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01008
OR
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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