Individual provider · NPI-1

Jacqueline Bohn, MD

Obstetrics & Gynecology, Gynecologic Oncology · Oklahoma City, OK

NPI number1104357540

StatusActive

Last updated in NPPESMay 31, 2022

Details

NPI: 1104357540
Entity type: Individual (NPI-1)
Name: Jacqueline Bohn
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 27, 2017
Certification date: May 31, 2022
Last updated: May 31, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207VX0201X	Obstetrics & Gynecology, Gynecologic Oncology	MD38927	OK	Yes
207V00000X	Obstetrics & Gynecology	MD192986	OR
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

800 Ne 10th St # 5050
Oklahoma City, OK 73104-5418

Phone 405-271-7770 · Fax 405-271-1006

Mailing address

800 Ne 10th St # 5050
Oklahoma City, OK 73104-5418

Phone 405-271-7770 · Fax 405-271-1006

Other practice locations

3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011

Phone 503-494-8211

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