Individual
HOLLY ANN BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1508 DIVISION ST STE 205, OREGON CITY, OR 97045-1585
(503) 657-1071
(503) 657-3321
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201050137NP
OR
367A00000X
Advanced Practice Midwife
AP60180037
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500627496
—
OR
05
—
500648571
—
OR
01
—
R165475
MEDICARE PTAN
OR
Enumeration date
09/27/2010
Last updated
01/28/2026
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