Booth, Anna Ruth

Booth, Anna Ruth is an individual health care provider with primary practice located at 15110 Boones Ferry Rd Ste 240 , Lake Oswego OR 97035. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Booth, Anna Ruth can be contacted via phone (503) 781-6938.

Contact Information

Primary practice address
15110 Boones Ferry Rd Ste 240 Lake Oswego OR 97035
Phone: (503) 781-6938
Fax: (503) 230-8884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1750437117
LBN Legal business name Booth, Anna Ruth
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 25th, 2019 - about 5 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 1750437117 NPPES
Oregon MEDICAID 500664078

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