Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LEE BOLES JR.
Active Sole ProprietorMR. JERRY LEE BOLES JR. is a Bus healthcare provider located in CENTRAL POINT, Oregon. NPI 1639645211 is currently active in the NPPES registry. Verify at CMS.
Bus · CENTRAL POINT, OR
Registration Details
- NPI Number
- 1639645211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2018 (7.7995653445339 yrs)
- Last Updated
- Oct 22, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1026 BEALL LNCENTRAL POINT, OR, 975022717Browse OR providers · Browse ZIP 97502
- Phone
- 5419414085
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.