Boerma, Brian James

Boerma, Brian James is an sole proprietor health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Boerma, Brian James can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010452 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X C5728 Oregon

Profile Details

NPI number 1235335290
LBN Legal business name Boerma, Brian James
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Jul 29th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235335290 NPPES
Oregon MEDICAID 500794921
Oregon Other B176375

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