- Practice location
- 84 Marginal Way Ste 700, Portland, ME 04101-2481
- Phone
- 207-774-5816
- Fax
- 207-987-5245
- Last updated
- February 25, 2025
Charles Russell Boehm is a Registered Nurse, General Practice based in Portland, ME. Charles Russell Boehm practices in Portland, ME and has the professional credentials of RN. The NPI Number for Charles Russell Boehm is 1467259853 and holds a License No. RN30687 (ME). The current practice location address for Charles Russell Boehm is 84 Marginal Way Ste 700, Portland, ME 04101-2481 and can be reached out via phone at 207-774-5816 and via fax at 207-987-5245.
Provider Profile Details
- NPI Number
- 1467259853
- Provider Name
- Charles Russell Boehm
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 84 Marginal Way Ste 700, Portland, ME 04101-2481
- Phone Number
- 207-774-5816
- Fax Number
- 207-987-5245
- Primary Taxonomy
- Registered Nurse, General Practice · 163WG0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 25, 2025
- Last Update Date
- February 25, 2025
- Certification Date
- February 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 84 Marginal Way Ste 700
Portland, ME 04101-2481 - City
- Portland
- State
- Maine
- Zip
- 04101-2481
- Phone Number
- 207-774-5816
- Fax Number
- 207-987-5245
Provider Business Mailing Address Details
- Address
- 84 Marginal Way Ste 700
Portland, ME 04101-2481 - City
- Portland
- State
- ME
- Zip
- 04101-2481
- Phone Number
- 207-774-5816
- Fax Number
- 207-987-5245
License Information
- License Number
- RN30687
- License State
- ME
- Taxonomy
- Registered Nurse, General Practice · 163WG0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Charles R Boehm, RN?
The NPI number of Charles R Boehm, RN is 1467259853. It was assigned on February 25, 2025 and is currently active in the NPPES registry.
What is the specialty of Charles R Boehm, RN?
Charles R Boehm, RN is registered under the primary taxonomy Registered Nurse, General Practice (code 163WG0000X), licensed in ME under license number RN30687.
Where does Charles R Boehm, RN practice?
The practice location is 84 Marginal Way Ste 700, Portland, ME 04101-2481. The office can be reached at 207-774-5816 (phone) or 207-987-5245 (fax).
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 1467259853 directly on the NPPES registry website.