JESSICA BOLLMAN
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1972360865- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1046 6TH AVE SW, ALBANY, OR, 973211916
- Phone
- (541) 812-4000
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
License: OR #10022075
Nurse Anesthetist, Certified Registered
Primary License: OR #APRN-CRNA10022075
Registered Nurse
License: OH #448246
All Addresses
MAILING
PO BOX 1189
CORVALLIS, OR, 973391189