Individual provider · Type 1 NPI

John Boehm

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1033654520 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 772-1777 Map

Fax (541) 734-2410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11-06-07 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033654520

John Boehm's National Provider Identifier is 1033654520, issued on Dec 20, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Dec 20, 2016.