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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1366751208 NPPES
Oregon Other R165475 MEDICARE PTAN
Oregon MEDICAID 500648571 MEDICARE PTAN

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