Boudreau, Luc G

Boudreau, Luc G is an individual health care provider with primary practice located at 6800 Sw 105Th Ave Ste 101 , Beaverton OR 97008-5488. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Boudreau, Luc G can be contacted via phone (971) 200-1966.

Contact Information

Primary practice address
6800 Sw 105Th Ave Ste 101 Beaverton OR 97008-5488
Phone: (971) 200-1966
Fax: (971) 754-4141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 20859 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1639117880
LBN Legal business name Boudreau, Luc G
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 18th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639117880 NPPES
Florida Other 20859 OCCUPATIONAL THERAPY

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