Active NPIIndividual provider

Mrs. Laura Boehm, MHSC, RD, LD

Dietitian, Registered in Bend, Oregon

NPI Number1396286704
Practice location
19950 Pinewood RD, Bend, OR 97702-2020
Fax
—
Last updated
February 4, 2019

Laura Boehm is a Dietitian, Registered based in Bend, OR. Laura Boehm practices in Bend, OR and has the professional credentials of MHSC, RD, LD. The NPI Number for Laura Boehm is 1396286704 and holds a License No. 934298 (OR). The current practice location address for Laura Boehm is 19950 Pinewood RD, Bend, OR 97702-2020 and can be reached out via phone at 541-639-2004.

Provider Profile Details

NPI Number
1396286704
Provider Name
Laura Boehm
Credential
MHSC, RD, LD
Provider Entity Type
Individual
Gender
Female
Address
19950 Pinewood RD, Bend, OR 97702-2020
Phone Number
541-639-2004
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2017
Last Update Date
February 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
19950 Pinewood RD
Bend, OR 97702-2020
City
Bend
State
Oregon
Zip
97702-2020
Phone Number
541-639-2004
Bend, OR 97702Get directions →

Provider Business Mailing Address Details

Address
19950 Pinewood RD
Bend, OR 97702-2020
City
Bend
State
OR
Zip
97702-2020
Phone Number
541-639-2004

License Information

License Number (1)
934298
License State (1)
OR
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
LD-D-000987
License State (2)
OR
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

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

Other Dietitian, Registered providers near Bend, OR

View all Dietitian, Registered providers in Bend →

Frequently Asked Questions

What is the NPI number of Mrs. Laura Boehm, MHSC, RD, LD?

The NPI number of Mrs. Laura Boehm, MHSC, RD, LD is 1396286704. It was assigned on March 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Laura Boehm, MHSC, RD, LD?

Mrs. Laura Boehm, MHSC, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in OR under license number 934298.

Where does Mrs. Laura Boehm, MHSC, RD, LD practice?

The practice location is 19950 Pinewood RD, Bend, OR 97702-2020. The office can be reached at 541-639-2004 (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 1396286704 directly on the NPPES registry website.

Browse related providers