Luc G Boudreau, OTR is a
Counselor based in Beaverton, Oregon. Luc G Boudreau is licensed to practice in * (Not Available) (license number ) and his current practice location is
6800 Sw 105th Ave Ste 101, Beaverton, Oregon. He can be reached at his office (for appointments etc.) via phone at
(971) 200-1966.
NPI number for Luc G Boudreau is 1639117880 and his current mailing address is 2631 Ne 14th Ave Apt 203, Wilton Manors, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639117880.
Healthcare Provider's Profile
| Full Name | Luc G Boudreau |
|---|
| Gender | Male |
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| Speciality | Counselor |
|---|
| Location | 6800 Sw 105th Ave Ste 101, Beaverton, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639117880
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 06/18/2024
Medical Identifiers
Medical identifiers for Luc G Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639117880 | NPI | - | NPPES |
| 20859 | Other | FL | OCCUPATIONAL THERAPY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 20859 (Florida) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luc G Boudreau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Luc G Boudreau, OTR
2631 Ne 14th Ave Apt 203,
Wilton Manors, FL 33334-4399
Ph: (323) 828-0618 | Luc G Boudreau, OTR
6800 Sw 105th Ave Ste 101,
Beaverton, OR 97008-5488
Ph: (971) 200-1966 |
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