Kendra Lee Bohm is a Specialist in Tigard, Oregon. Kendra Lee Bohm practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kendra Lee Bohm is 1013085927. The last update date is 2007-07-08.
Kendra Lee Bohm's current location address is 15579 Sw 76th Ave, Tigard, Oregon. You can contact this provider via phone number 9712196427. The mailing address for Kendra Lee Bohm is 15579 Sw 76th Ave, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra Lee Bohm |
|---|---|
| Address | 15579 Sw 76th Ave, Tigard, Oregon |
| Phone Number | 9712196427 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1013085927 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15579 Sw 76th Ave |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972247980 |
| Phone Number | 9712196427 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 10828 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identification code assigned to Kendra Lee Bohm by the Centers for Medicare & Medicaid Services?
The Kendra Lee Bohm has been issued the NPI (National Provider Identifier) 1013085927. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kendra Lee Bohm is located?
The Kendra Lee Bohm is situated at the following address: 15579 Sw 76Th Ave, Tigard, OR, 972247980.
What is Kendra Lee Bohm's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kendra Lee Bohm is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Kendra Lee Bohm receive the assignment of its 1013085927 from the Centers for Medicare & Medicaid Services?
The Kendra Lee Bohm was issued its 1013085927 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the details related to Kendra Lee Bohm most recently updated or revised?
The information pertaining to Kendra Lee Bohm, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.