Active NPIIndividual providerSole proprietor

Brooke K Boskovich, RD

Dietitian, Registered in Bend, Oregon

NPI Number1477095370
Practice location
1750 NE Neff RD, Guest House, Bend, OR 97701-6111
Fax
—
Last updated
November 8, 2016

Brooke Kathleen Boskovich is a Dietitian, Registered based in Bend, OR. Brooke Kathleen Boskovich practices in Bend, OR and has the professional credentials of RD. The NPI Number for Brooke Kathleen Boskovich is 1477095370 and holds a License No. LD-D-10177805 (OR). The current practice location address for Brooke Kathleen Boskovich is 1750 NE Neff RD, Guest House, Bend, OR 97701-6111 and can be reached out via phone at 541-980-7659.

Provider Profile Details

NPI Number
1477095370
Provider Name
Brooke Kathleen Boskovich
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
1750 NE Neff RD, Guest House, Bend, OR 97701-6111
Phone Number
541-980-7659
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Other Names
-- Brooke Kathleen Gray, RD (Former Name)
Provider Enumeration Date
November 8, 2016
Last Update Date
November 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1750 NE Neff RD
Guest House
Bend, OR 97701-6111
City
Bend
State
Oregon
Zip
97701-6111
Phone Number
541-980-7659
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
Po Box 8815
Bend, OR 97708-8815
City
Bend
State
OR
Zip
97708-8815
Phone Number
541-980-7659

License Information

License Number
LD-D-10177805
License State
OR
Taxonomy
Dietitian, Registered · 133V00000X · 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 Brooke K Boskovich, RD?

The NPI number of Brooke K Boskovich, RD is 1477095370. It was assigned on November 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Brooke K Boskovich, RD?

Brooke K Boskovich, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in OR under license number LD-D-10177805.

Where does Brooke K Boskovich, RD practice?

The practice location is 1750 NE Neff RD, Guest House, Bend, OR 97701-6111. The office can be reached at 541-980-7659 (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 1477095370 directly on the NPPES registry website.

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