Boss, Robert J

Boss, Robert J is an individual health care provider with primary practice located at 450 Tatone Street , Boardman OR 97818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boss, Robert J can be contacted via phone (541) 481-7212.

Contact Information

Primary practice address
450 Tatone Street Boardman OR 97818
Phone: (541) 481-7212
Fax: (541) 481-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD09837 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00017375 Oregon

Profile Details

NPI number 1013900646
LBN Legal business name Boss, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 4th, 2012 - about 12 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 1013900646 NPPES
Oregon MEDICAID 004015

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