Doctor Name: | NICOLE FRANCOISE BOLENDER |
NPI Number: | 1467473363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD00016456 |
Business Practice Address: | 700 Lincoln St Suite 100 Kelso, WA - 986261072 |
Business Phone Number: | 3604255131 |
Business Fax Number: | 3604255509 |
Mailing Address: | 700 Lincoln St, Suite 100 KELSO |
State: | WA |
Postal Code: | 986261072 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | MD00016456 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |