Boller, Brandi L

Boller, Brandi L is an individual health care provider with primary practice located at 777 Nw 9Th St Ste 320 , Corvallis OR 97330-6169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boller, Brandi L can be contacted via phone (541) 768-1840.

Contact Information

Primary practice address
777 Nw 9Th St Ste 320 Corvallis OR 97330-6169
Phone: (541) 768-1840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO203116 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31584 Kansas

Profile Details

NPI number 1528034683
LBN Legal business name Boller, Brandi L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 19th, 2022 - about 4 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 1528034683 NPPES
Kansas Other 103827 BLUE CROSS/BLUE SHIELD

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