David R Boston, MD
Internal Medicine, Cardiovascular Disease in Vancouver, WA. Individual provider (NPI-1).
NPI number1871542001
StatusActive
Last updated in NPPESMay 2, 2018
Details
- NPI
- 1871542001
- Entity type
- Individual (NPI-1)
- Name
- David R Boston
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2006
- Last updated
- May 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MD00029739 | WA | Yes |
| 207UN0902X | Nuclear Medicine, Nuclear Imaging & Therapy | 29739 | WA |
Practice location
400 Ne Mother Joseph PlSw Washington Medical Center
Vancouver, WA 98664
Phone 360-514-2000
Mailing address
4530 Sw Fairhaven DrPortland, OR 97221-2610
Phone 503-224-0702
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