- Practice location
- 62895 Hamby RD, Bend, OR 97701-9575
- Phone
- 541-389-1409
- Fax
- —
- Last updated
- February 15, 2022
Shelby Kathryn Boudreau is a Social Worker based in Bend, OR. Shelby Kathryn Boudreau practices in Bend, OR. The NPI Number for Shelby Kathryn Boudreau is 1780339085. The current practice location address for Shelby Kathryn Boudreau is 62895 Hamby RD, Bend, OR 97701-9575 and can be reached out via phone at 541-389-1409.
Provider Profile Details
- NPI Number
- 1780339085
- Provider Name
- Shelby Kathryn Boudreau
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 62895 Hamby RD, Bend, OR 97701-9575
- Phone Number
- 541-389-1409
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 15, 2022
- Last Update Date
- February 15, 2022
- Certification Date
- February 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62895 Hamby RD
Bend, OR 97701-9575 - City
- Bend
- State
- Oregon
- Zip
- 97701-9575
- Phone Number
- 541-389-1409
Provider Business Mailing Address Details
- Address
- 62895 Hamby RD
Bend, OR 97701-9575 - City
- Bend
- State
- OR
- Zip
- 97701-9575
- Phone Number
- 541-389-1409
License Information
- Taxonomy (1)
- Social Worker · 104100000X · Primary
- License State (2)
- OR
- Taxonomy (2)
- Social Worker · 104100000X
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 Shelby K Boudreau?
The NPI number of Shelby K Boudreau is 1780339085. It was assigned on February 15, 2022 and is currently active in the NPPES registry.
What is the specialty of Shelby K Boudreau?
Shelby K Boudreau is registered under the primary taxonomy Social Worker (code 104100000X).
Where does Shelby K Boudreau practice?
The practice location is 62895 Hamby RD, Bend, OR 97701-9575. The office can be reached at 541-389-1409 (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 1780339085 directly on the NPPES registry website.