SOPHIA SERAFINA FERRARI BOSTWICK

LEBANON, OR
NPI1114556883
Former NameSOPHIA SERAFINA FERRARI JONES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  PG220843)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-05
Last Update Date2025-06-05
Business Address
SOPHIA SERAFINA FERRARI BOSTWICK DO
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
Mailing Address
SOPHIA SERAFINA FERRARI BOSTWICK DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8311