OrganizationActive
Amy Rose Boren
NPI 1760810030 · Contractor · Portland, OR
Provider details
- NPI number
- 1760810030
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Authorized official
- Amy Boren, Lmt
- License
- 14529 (OR)
Mailing address
8385 Sw Carmel Ct
Portland, OR 97223-6951
Registry dates
- Enumerated
- 2013-10-24
- Last updated
- 2013-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.