Individual
MR. BRIAN JAMES BOERMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401010452
MI
101YP2500X
Professional Counselor
Primary
C5728
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500794921
—
OR
01
—
B176375
ODL
OR
Enumeration date
06/26/2007
Last updated
07/29/2022
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