FREDERICK M BOLZENDAHL

PORTLAND, OR
NPI1992801252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA00507)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
-- FREDERICK M BOLZENDAHL PA-C
3710 SW US VETERANS RD
PORTLAND, OR 97207
Phone number: 503-220-8262
Mailing Address
-- FREDERICK M BOLZENDAHL PA-C
15515 NE 25TH AVE
VANCOUVER, WA 98686
Phone number: 360-571-9416
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