Russell B Boulware

NPI #1053733030 in Albany, Oregon

Provider Information

NPI Number
1053733030
Entity Type
Individual
Name
Russell B Boulware
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jan 10, 2014
Last Updated
Jan 10, 2014

Practice Location

Address
445 3RD AVE SW
City
Albany
State
Oregon
ZIP Code
97321-2272
Phone
(541) 967-3866

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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