NPI 1649453390 · live from the CMS NPI Registry
Angela Kathryn Bohlke, M.D.
Dermatology, Dermatopathology in Salem, OR. National Provider Identifier 1649453390, active.
NPI record
| NPI | 1649453390 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, Dermatopathology 207ND0900X |
| Practice location | 1793 13th St Se, Salem, OR 97302 |
| Practice phone | 503-362-8385 |
| Enumerated | December 17, 2007 |
| Last updated | November 29, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.201620 (LA) |
| Dermatology, Dermatopathology primary | 207ND0900X | MD153871 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.