Graduated: 2022
Offers telehealth
NPI: 1710424510
Practice Locations (2)
BOULDER CARE PROVIDER GROUP PA
111 SW NAITO PKWY, SUITE 200
PORTLAND, OR 972043512
5035637370
BOULDER CARE PROVIDER GROUP PA
915 BROADWAY ST, SUITE 137
VANCOUVER, WA 986603278
5032085061
Source: CMS National Downloadable File, September 2026.