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Olisa Bomley, LMSW
NPI 1447691621 · on the registry since 2013
Practice
- Address
- 415 6th St
Lewiston, ID 83501 - Phone
- (208) 746-5700
- Fax
- (208) 799-6504
- Organisation at this address
- Michael Kos Md, Ps
St Joseph Snf Unit
St Joseph Hospital Llc
Valley Anesthesia, P.A.
Phoenix Radiology, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 107
Additional practice sites
- 719 S Main St, Moscow, ID
- 623 S Main St Ste 1, Moscow, ID
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-17
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 Idaho