Individual
MRS. INGRID MARIE BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1150 N ROOSEVELT DR APT 104, SEASIDE, OR 97138-7053
(503) 717-7050
Mailing address
40933 OLD HIGHWAY 30, ASTORIA, OR 97103-8684
(503) 298-8296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201141723RN
OR
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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