GAVIN BOEN
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1326850272- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 755 MISSION ST SE, SALEM, OR, 973026211
- Phone
- (503) 814-5986
Specialties & Taxonomies
Physical Therapist
Primary License: OR #64954