Active NPIIndividual provider

Mr. Brad C Boehme

Pharmacist in Beaverton, Oregon

NPI Number1235559881
Practice location
9775 SW Gemini Dr, Ste 1, Beaverton, OR 97008-7148
Fax
—
Last updated
April 22, 2014

Brad Craig Boehme is a Pharmacist based in Beaverton, OR. Brad Craig Boehme practices in Beaverton, OR. The NPI Number for Brad Craig Boehme is 1235559881 and holds a License No. 0008601 (OR). The current practice location address for Brad Craig Boehme is 9775 SW Gemini Dr, Ste 1, Beaverton, OR 97008-7148 and can be reached out via phone at 866-202-4014.

Provider Profile Details

NPI Number
1235559881
Provider Name
Brad Craig Boehme
Provider Entity Type
Individual
Gender
Male
Address
9775 SW Gemini Dr, Ste 1, Beaverton, OR 97008-7148
Phone Number
866-202-4014
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2014
Last Update Date
April 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
9775 SW Gemini Dr
Ste 1
Beaverton, OR 97008-7148
State
Oregon
Zip
97008-7148
Phone Number
866-202-4014
Beaverton, OR 97008Get directions →

Provider Business Mailing Address Details

Address
9775 SW Gemini Dr
Ste 1
Beaverton, OR 97008-7148
City
Beaverton
State
OR
Zip
97008-7148
Phone Number
866-202-4014

License Information

License Number (1)
0008601
License State (1)
OR
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
47988
License State (2)
TX
Taxonomy (2)
Pharmacist · 183500000X
License Number (3)
13142
License State (3)
NE
Taxonomy (3)
Pharmacist · 183500000X
License Number (4)
S015044
License State (4)
AZ
Taxonomy (4)
Pharmacist · 183500000X

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 Mr. Brad C Boehme?

The NPI number of Mr. Brad C Boehme is 1235559881. It was assigned on April 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Brad C Boehme?

Mr. Brad C Boehme is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in OR under license number 0008601.

Where does Mr. Brad C Boehme practice?

The practice location is 9775 SW Gemini Dr, Ste 1, Beaverton, OR 97008-7148. The office can be reached at 866-202-4014 (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 1235559881 directly on the NPPES registry website.

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