IndividualActive
Ingrid Boettcher, RN
NPI 1336804319 · Registered Nurse · Seaside, OR
Provider details
- NPI number
- 1336804319
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 201141723RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
1150 N Roosevelt Dr Apt 104
Seaside, OR 97138-7053
Phone: (503) 717-7050
Approximate (ZIP-level) locationGet directions
Mailing address
40933 Old Highway 30
Astoria, OR 97103-8684
Registry dates
- Enumerated
- 2021-11-03
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.