Boutin, Nancy S

Boutin, Nancy S is an individual health care provider with primary practice located at 1015 3Rd St Nw , Salem OR 97304-4007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Boutin, Nancy S can be contacted via phone (503) 588-3600.

Contact Information

Primary practice address
1015 3Rd St Nw Salem OR 97304-4007
Phone: (503) 588-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD13924 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2085H0002X MD13924 Oregon

Profile Details

NPI number 1841214327
LBN Legal business name Boutin, Nancy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 17th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841214327 NPPES
Oregon MEDICAID 004650

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