Individual provider · Type 1 NPI

Laura Bolt, PA-C

Physician Assistant · Portland, OR

NPI number 1124438205 Active

Practice location

4805 NE Glisan St, Ste 6N50
Portland, OR 97213-2933

Call (503) 215-2300 Map

Fax (503) 215-8004

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA174307 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124438205

Laura Bolt, PA-C's National Provider Identifier is 1124438205, issued on Apr 29, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Oct 6, 2020.