Diane Bolduc, M.D. Valid NPI

Individual provider · Family Medicine Physician · Roseburg, OR

NPI

1174537047

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

MD23487 (OR)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-07-28

Last updated

2007-07-09