Individual provider · Type 1 NPI

Jamie D. Boggan

Addiction (Substance Use Disorder) Counselor · Mcminnville, OR

NPI number 1437283462 Active

Practice location

627 NE Evans St
Mcminnville, OR 97128-3923

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADCI 950425 (OR)

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

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About NPI 1437283462

Jamie D. Boggan's National Provider Identifier is 1437283462, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mcminnville, OR. The record was last updated on Jul 8, 2007.