Boucher, Mary J

Boucher, Mary J is an individual health care provider with primary practice located at 922 Nw Circle Blvd Ste 180 , Corvallis OR 97330-1483. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Boucher, Mary J can be contacted via phone (541) 224-6738.

Contact Information

Primary practice address
922 Nw Circle Blvd Ste 180 Corvallis OR 97330-1483
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X OR951 Oregon

Profile Details

NPI number 1760020200
LBN Legal business name Boucher, Mary J
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 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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