DANA LYNN BODDY CRM
NPI 1891338901
Counselor - Addiction (Substance Use Disorder) in Tigard, OR
Active since October 21, 2019
About Dana Lynn Boddy Crm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA LYNN BODDY CRM (NPI 1891338901) is an individual addiction (substance use disorder) provider in Tigard, Oregon and active in the NPI registry since October 2019.
NPPES Registry Identity
NPI1891338901
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDANA LYNN BODDYCredential: CRM
Location Address10362 SW MCDONALD STTigard, OR 97224-4863
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400 · Fax (503) 239-8407
Phone(971) 865-2855
Fax(503) 639-3973
Sole ProprietorYes
Enumeration DateOctober 21, 2019
✔ NPI 1891338901 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
10362 SW MCDONALD ST, Tigard, OR 97224
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
TIGARD, OR 97224
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
TIGARD, OR 97224
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891338901, enumerated as an "individual" on October 21, 2019.
The provider is located at 10362 SW MCDONALD ST TIGARD, OR 97224 and the phone number is (971) 865-2855.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
