Olivia Suzanne Botsford

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2369 NW Schmidt Way Apt 117
Beaverton, OR 97006-4775

Phone

(503) 407-7121

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1083232862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 NW SCHMIDT WAY APT 117",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064775",
            "telephone_number": "503-407-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 NW SCHMIDT WAY APT 117",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064775",
            "telephone_number": "503-407-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTSFORD",
        "first_name": "OLIVIA",
        "middle_name": "SUZANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Bost
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• Ethan Boswell, LMT
• Karen Boteilho, RDH
• Arely Botello Leal
• Carole Jean Bottoms
• Samantha Boulanger
• Bounce Back Acupuncture
• Alexander Bouneff, DMD, MD
• Anthony B. Bouneff, D.M.D.

• Case Manager/Care Coordinator in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.