Individual
HANNAH BORUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3729 KLINDT DR, THE DALLES, OR 97058-3566
(541) 298-2101
(541) 298-7996
Mailing address
3729 KLINDT DR, THE DALLES, OR 97058-3566
(541) 298-2101
(541) 298-7996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
01/31/2024
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