SUSAN PATRICIA ANDUAGA BOCANEGRA MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1316331259- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 4855 SW WESTERN AVE, BEAVERTON, OR, 970053499
- Phone
- (503) 643-7565
- Fax
- (503) 626-4418
Specialties & Taxonomies
Pediatrics
License: AZ #58314
Internal Medicine
Primary License: AZ #58314