Mitchell Boriskin, F.N.P., P.C.
Nurse Practitioner in Springfield, OR. Organization (NPI-2).
NPI number1083774541
StatusActive
Last updated in NPPESAug 27, 2008
Details
- NPI
- 1083774541
- Entity type
- Organization (NPI-2)
- Legal business name
- Mitchell Boriskin, F.N.P., P.C.
- Organization subpart
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Aug 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 085073033N | OR | Yes |
Practice location
1460 G StSpringfield, OR 97477-4112
Phone 541-726-4400
Mailing address
1460 G StSpringfield, OR 97477-4112
Phone 541-726-4400
Authorized official
Mitchell Boriskin
Owner
5417264400
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