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1073268561
CHRISTOPHER BRICE BOUFFARD
MEDFORD, OR
NPI
1073268561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA209384)
Enumeration Date
2022-02-14
Last Update Date
2022-03-24
Business Address
Mr. CHRISTOPHER BRICE BOUFFARD PA-C
1698 E MCANDREWS RD STE 160
MEDFORD, OR 97504-5590
Phone number: 541-732-7874
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Mailing Address
Mr. CHRISTOPHER BRICE BOUFFARD PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-7874
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