Wellformed AI

NPI 1942443965 · live from the CMS NPI Registry

Robert Alexander Bohanan

Anesthesiology in Portland, OR. National Provider Identifier 1942443965, active.

NPI record

NPI1942443965 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location707 Sw Washington St, Suite 700, Portland, OR 97205
Practice phone503-299-9906
Mailing addressPo Box 35147, #1801, Seattle, WA 98124
EnumeratedApril 7, 2009
Last updatedOctober 10, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology primary207L00000XMD161971 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.