Carole Elizabeth Boshart

Individual provider Active NPI Mental Health Counselor · Eugene, OR

NPI 1285793083 · NPPES record last updated Jul 19, 2017

Key facts

NPI
1285793083
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3438 Kinsrow Ave
Apt 113
Eugene, OR 97401-7857
Phone
(541) 485-1502
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3438 Kinsrow Ave
Apt 113
Eugene, OR 97401-7857

Mailing address

3438 Kinsrow Ave
Apt 113
Eugene, OR 97401-7857
Phone (541) 485-1502

Other providers in Eugene, OR

All providers in Eugene, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.