Doctor Name: | CLARA A BOZIEVICH |
NPI Number: | 1326105040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD21119 |
Business Practice Address: | 975 Nw Spruce Ave Ste 102 Corvallis, OR - 973302297 |
Business Phone Number: | 5417388727 |
Business Fax Number: | 5417584503 |
Mailing Address: | 975 Nw Spruce Ave Ste 102, CORVALLIS |
State: | OR |
Postal Code: | 973302297 |
Phone Number: | 5417388727 |
Fax Number: | 5417584503 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD21119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |