Boucher, K. Michael
Boucher, K. Michael is an sole proprietor health care provider with primary practice located at 425 Ellsworth St Sw , Albany OR 97321-2362. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boucher, K. Michael can be contacted via phone (541) 619-8121.Contact Information
Primary practice address
425 Ellsworth St Sw
Albany OR 97321-2362
Phone: (541) 619-8121
Fax: (541) 924-9600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L2692 | Oregon |
Profile Details
| NPI number | 1538298146 |
|---|---|
| LBN Legal business name | Boucher, K. Michael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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