Sean Lee Bossen

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

21-CRM-434 Issued in OR

Practice address

2045 Silverton Rd NE
Salem, OR 97301-0100

Phone

(503) 364-3047

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1346910171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GLEN CREEK RD NW APT 60",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043068",
            "telephone_number": "971-283-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "503-364-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSEN",
        "first_name": "SEAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "21-CRM-434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Borisch, PHARM. D.
• Jesse William Borjesson, LMT
• Timothy Richard Borman, DO
• Grant Andrew Bortnem, DPT
• Candice Meline Boss, QMHP-R
• Charity Bost
• Dawn Elizabeth Bost, MD
• Catherine Aine Boulay, MD
• Francine Helen Boullosa, PHYSICIAN ASSISTANT
• James M Bourdet, PT

• Peer Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.