Bolstad, Margot R

Bolstad, Margot R is an individual health care provider with primary practice located at 65371 Wa-14 , White Salmon WA 98672-9867. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bolstad, Margot R can be contacted via phone (509) 493-2133.

Contact Information

Primary practice address
65371 Wa-14 White Salmon WA 98672-9867
Fax: (509) 493-9544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X DO14331 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60910561 Washington

Profile Details

NPI number 1124082458
LBN Legal business name Bolstad, Margot R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124082458 NPPES
Oregon MEDICAID 125286

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