Boothby, Andrea

Boothby, Andrea is an individual health care provider with primary practice located at 340 Nw 5Th St Ste 202 , Redmond OR 97756-1869. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Boothby, Andrea can be contacted via phone (541) 504-2218.

Contact Information

Primary practice address
340 Nw 5Th St Ste 202 Redmond OR 97756-1869
Phone: (541) 504-2218
Fax: (541) 504-1195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15-04-04 Oregon

Profile Details

NPI number 1760851455
LBN Legal business name Boothby, Andrea
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Sep 23rd, 2015 - 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.

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