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KEVIN CHRISTOPHER BOLEN CST/CSFA

Individual Provider (NPI-1) Active

Specialist/Technologist, Other, Surgical Assistant

Provider Information

NPI Number
1376107250
Provider Type
Individual Provider (NPI-1)
Credentials
CST/CSFA
Status
Active

Contact & Location

Address
1046 6TH AVE SW, ALBANY, OR, 973211916
Phone
(541) 812-4000

Specialties & Taxonomies

Specialist/Technologist, Other, Surgical Assistant Primary License: CO #187722
Specialist/Technologist, Other, Surgical Technologist License: CO #187722

All Addresses

MAILING

11240 SE CRANBERRY LOOP

CLACKAMAS, OR, 970158525

(971) 237-0159

LOCATION

1046 6TH AVE SW

ALBANY, OR, 973211916

(541) 812-4000