Search › Oregon › 363A00000X
Laura Bolt, PA-C
NPI 1124438205 · on the registry since 2014
Practice
- Address
- 4805 Ne Glisan St
Ste 6n50
Portland, OR 97213 - Phone
- (503) 215-2300
- Fax
- (503) 215-8004
- Organisation at this address
- Psychmatters Llc
Gary Laclair Inc
Credena Health Llc
Eugene Borkan, Md, Pc
Ronald L Spangler, Md, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 400
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon