Bolton, Philip Manning

Bolton, Philip Manning is an individual health care provider with primary practice located at 6400 Se Lake Rd Ste 325 , Milwaukie OR 97222-2185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bolton, Philip Manning can be contacted via phone (503) 786-1711.

Contact Information

Primary practice address
6400 Se Lake Rd Ste 325 Milwaukie OR 97222-2185
Fax: (503) 786-9919
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD20092 Oregon

Profile Details

NPI number 1588692388
LBN Legal business name Bolton, Philip Manning
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 3rd, 2021 - about 5 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 1588692388 NPPES
Oregon Other 226895 OMAP PROVIDER #

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