Boazeman, Donique

Boazeman, Donique is an sole proprietor health care provider with primary practice located at 3140 Juanipero Way Ste 101 , Medford OR 97504-8647. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker, Agencies / Case Management, Agencies / Community/Behavioral Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Boazeman, Donique can be contacted via phone (541) 323-4800.

Contact Information

Primary practice address
3140 Juanipero Way Ste 101 Medford OR 97504-8647
Phone: (541) 323-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1528955622
LBN Legal business name Boazeman, Donique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2025
Last updated Jun 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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