Individual provider · Type 1 NPI

Kendra Lee Bohm, LMT

Specialist · Tigard, OR

NPI number 1013085927 Active

Practice location

15579 SW 76th Ave
Tigard, OR 97224-7980

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X10828 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013085927

Kendra Lee Bohm, LMT's National Provider Identifier is 1013085927, issued on Nov 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tigard, OR. The record was last updated on Jul 8, 2007.