Mikaylah M Bouchard

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

8303 SW Locust St
Tigard, OR 97223-8816

Phone

(503) 645-3581

NPI assigned

Oct 15, 2019

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1912549569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 SE ORIENT DR APT 3129",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805262",
            "telephone_number": "971-409-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SW LOCUST ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238816",
            "telephone_number": "503-645-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "MIKAYLAH",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Sue Borgman, CRM
• Stephen Born, PT
• Joseph Paul Borow, CRM/PSS
• Rachel M Borton-Monaghan
• Lucia A Botez
• Nachely M Bourette
• Kaley Anne Bourgeois, N.D.
• Savhannah E Bourisaw, LMT
• Lisa Marie Bowe
• Amber L. Bowell, PA

• Case Manager/Care Coordinator in Tigard, OR
• Providers in Tigard, 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 Oct 15, 2019; 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.