Individual
AMY CHARLOTTE BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 564-4473
Mailing address
595 NW 11TH ST, HERMISTON, OR 97838-6600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A114366
CA
2084P0800X
Psychiatry Physician
Primary
MD161675
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/18/2009
Last updated
10/02/2013
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