Boudon, Trista Demarie

Boudon, Trista Demarie is an individual health care provider with primary practice located at 318 S Holladay Dr , Seaside OR 97138-6728. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Boudon, Trista Demarie can be contacted via phone (503) 325-0241.

Contact Information

Primary practice address
318 S Holladay Dr Seaside OR 97138-6728
Phone: (503) 325-0241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1740746882
LBN Legal business name Boudon, Trista Demarie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2019
Last updated Feb 13th, 2019 - about 6 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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