Michele K Bouche, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

084055791N5 Issued in OR

Practice address

917 11TH St
Suite 200
Hood River, OR 97031-1578

Phone

(541) 387-8940

Fax

(541) 387-8908

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1992762405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 11TH ST",
            "address_2": "SUITE 200",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311578",
            "telephone_number": "541-387-8940",
            "fax_number": "541-387-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHE",
        "first_name": "MICHELE",
        "middle_name": "K",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "084055791N5",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "084055791N5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069997",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Oliver Blosser
• Tollie M Bohl, DPT
• Loren Bolich
• Brianne Bolland, PHARMD
• Karen Irene Boroughs, DPT
• Randee Bowder, RPH
• Michaela Bowen, OTR/L
• Dolly Ann Brandt, L.M.T
• James M Brauer, M.D.
• Julia Ruth Brennan, M.D.

• Midwife in Hood River, OR
• Providers in Hood River, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.