Lynne Amy Booth

NPI 1720480858 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1720480858
Gender Female
Enumeration Date 09/19/2014
Last Updated 09/19/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
MAIL CODE L102
PORTLAND OR, 97239-3011, US
Phone (530) 494-8220
Fax
Business Location
3181 SW SAM JACKSON PARK RD
MAIL CODE L102
PORTLAND OR, 97239-3011, US
Phone (530) 494-8220
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lynne Amy Booth NPI is 1720480858, taxonomy code is 390200000X Lynne Amy Booth physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Lynne Amy Booth has the Individual type.

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1720480858 NPI number is provided on an as is basis without warranty of any kind. 1720480858 is maintained by the National Plan & Provider Enumeration System. The contents of Lynne Amy Booth are for informational purposes only.