Jeb Bolerjack, RN

NPI 1467940486 · on the registry since 2018

Practice

Address: 784 14th Ave
Longview, WA 98632
Phone: (360) 703-6400
Fax: (360) 353-3611
Organisation at this address: Pediatric Clinic, Inc., P.S.
Cowlitz Family Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Also registered as: Addiction (Substance Use Disorder) Counselor
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-27

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 Washington