Boehm, Holly Ann
Boehm, Holly Ann is an individual health care provider with primary practice located at 1508 Division St Suite 205, Oregon City OR 97045-1582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Boehm, Holly Ann can be contacted via phone (503) 657-1071.Contact Information
Primary practice address
1508 Division St Suite 205
Oregon City OR 97045-1582
Phone: (503) 657-1071
Fax: (503) 657-3321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 201050137NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP60180037 | Washington |
Profile Details
| NPI number | 1366751208 |
|---|---|
| LBN Legal business name | Boehm, Holly Ann |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2010 |
| Last updated | Jun 15th, 2016 - about 10 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366751208 | NPPES |
| Oregon | Other | R165475 | MEDICARE PTAN |
| Oregon | MEDICAID | 500648571 | MEDICARE PTAN |
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