Active NPIIndividual providerSole proprietor

Dana L Boddy, CRM

Counselor, Addiction (Substance Use Disorder) in Tigard, Oregon

NPI Number1891338901
Practice location
10362 SW Mcdonald St, Tigard, OR 97224-4863
Fax
503-639-3973
Last updated
October 21, 2019

Dana Lynn Boddy is a Counselor, Addiction (Substance Use Disorder) based in Tigard, OR. Dana Lynn Boddy practices in Tigard, OR and has the professional credentials of CRM. The NPI Number for Dana Lynn Boddy is 1891338901. The current practice location address for Dana Lynn Boddy is 10362 SW Mcdonald St, Tigard, OR 97224-4863 and can be reached out via phone at 971-865-2855 and via fax at 503-639-3973.

Provider Profile Details

NPI Number
1891338901
Provider Name
Dana Lynn Boddy
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
10362 SW Mcdonald St, Tigard, OR 97224-4863
Phone Number
971-865-2855
Fax Number
503-639-3973
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2019
Last Update Date
October 21, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10362 SW Mcdonald St
Tigard, OR 97224-4863
City
Tigard
State
Oregon
Zip
97224-4863
Phone Number
971-865-2855
Fax Number
503-639-3973
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
1027 E Burnside St
Portland, OR 97214-1328
City
Portland
State
OR
Zip
97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8407

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Dana L Boddy, CRM?

The NPI number of Dana L Boddy, CRM is 1891338901. It was assigned on October 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Dana L Boddy, CRM?

Dana L Boddy, CRM is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Dana L Boddy, CRM practice?

The practice location is 10362 SW Mcdonald St, Tigard, OR 97224-4863. The office can be reached at 971-865-2855 (phone) or 503-639-3973 (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 1891338901 directly on the NPPES registry website.

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