Individual provider · Type 1 NPI

Charles Russell Boehm, RN

General Practice Registered Nurse · Portland, ME

NPI number 1467259853 Active

About NPI 1467259853

Charles Russell Boehm, RN's National Provider Identifier is 1467259853, issued on Feb 25, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Portland, ME. The record was last updated on Feb 25, 2025.