Boren, Paige A
Boren, Paige A is an sole proprietor health care provider with primary practice located at 154 Madrona Way Ne , Bainbridge Island WA 98110-1869. 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. Boren, Paige A can be contacted via phone (206) 854-9080.Contact Information
Primary practice address
154 Madrona Way Ne
Bainbridge Island WA 98110-1869
Phone: (206) 854-9080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00005765 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1841307105 |
|---|---|
| LBN Legal business name | Boren, Paige A |
| Credentials | CDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jun 6th, 2023 - about last year |
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 | 1841307105 | NPPES |
| Washington | MEDICAID | 1992825 | |
| Washington | Other | 910875163-19 | |
| Washington | Other | PO1521 |
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