Active NPIIndividual providerSole proprietor

Mrs. Kendra L Bohm, LMT

Specialist in Tigard, Oregon

NPI Number1013085927
Practice location
15579 SW 76TH Ave, Tigard, OR 97224-7980
Fax
—
Last updated
July 8, 2007

Kendra Lee Bohm is a Specialist based in Tigard, OR. Kendra Lee Bohm practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Kendra Lee Bohm is 1013085927 and holds a License No. 10828 (OR). The current practice location address for Kendra Lee Bohm is 15579 SW 76TH Ave, Tigard, OR 97224-7980 and can be reached out via phone at 971-219-6427.

Provider Profile Details

NPI Number
1013085927
Provider Name
Kendra Lee Bohm
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
15579 SW 76TH Ave, Tigard, OR 97224-7980
Phone Number
971-219-6427
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15579 SW 76TH Ave
Tigard, OR 97224-7980
City
Tigard
State
Oregon
Zip
97224-7980
Phone Number
971-219-6427
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
15579 SW 76TH Ave
Tigard, OR 97224-7980
City
Tigard
State
OR
Zip
97224-7980
Phone Number
971-219-6427

License Information

License Number
10828
License State
OR
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kendra L Bohm, LMT?

The NPI number of Mrs. Kendra L Bohm, LMT is 1013085927. It was assigned on November 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kendra L Bohm, LMT?

Mrs. Kendra L Bohm, LMT is registered under the primary taxonomy Specialist (code 174400000X), licensed in OR under license number 10828.

Where does Mrs. Kendra L Bohm, LMT practice?

The practice location is 15579 SW 76TH Ave, Tigard, OR 97224-7980. The office can be reached at 971-219-6427 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013085927 directly on the NPPES registry website.

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