NANCY S BOUTIN


Address: 1015 3rd St Nw, Salem, OR 97304-4007
Phone: 5035883600

NANCY S BOUTIN (NPI# 1841214327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841214327
Entity Type Individual
Full Name NANCY S BOUTIN
Credential M.D.
Practice Address 1015 3rd St Nw
Salem
OR 97304-4007
Mailing Address Po Box 14001
Salem
OR 97309-5014
Practice Telephone 5035883600
Mailing Telephone 5035615419
Enumeration Date 2006-07-27
Last Update Date 2020-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0001X Radiology
Specialization: Radiation Oncology
MD13924 OR Allopathic & Osteopathic Physicians
Y 2085H0002X Radiology
Specialization: Hospice and Palliative Medicine
MD13924 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 004650 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
875 Oak St Se, Salem, OR 973013975 5035615419

Office Location

Street Address 1015 3RD ST NW
City SALEM
State OR
Zip Code 97304-4007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093715070 Willamette Valley Hospice Inc Hospice Care, Community Based 1015 3rd St Nw, Salem, OR 97304-4007 2005-07-29
1972086056 Diana Nicholson-nelson Social Worker 1015 3rd St Nw, Salem, OR 97304-4007 2018-09-13
1740318500 Sheila Lynn Sund Psychiatry & Neurology 1015 3rd St Nw, Salem, OR 97304-4007 2007-03-01
1801835368 Deanna K Bower Internal Medicine 1015 3rd St Nw, Salem, OR 97304-4007 2006-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114413010 Sam Mackenzie Lane Massage Therapist 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 2018-07-03
1144761131 Rachel E Carson Physical Therapist 1025 2nd St. Nw, West Salem, OR 97304 2017-03-10
1962951061 Lee Ann Nail Social Worker 3965 Gibson Rd Nw, Salem, OR 97304 2016-09-29
1619421591 Logan Walters Physical Therapist 1025 2nd St Nw, Salem, OR 97304 2016-08-09
1770941338 Tysandra Gillis Massage Therapist 859 Mule Deer St., Salem, OR 97304 2016-02-10
1144620295 Molly Rodden Nurse Practitioner 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 2014-08-26
1881942126 Cynthia Ruth Rettler Registered Nurse 1520 Plaza St Nw Ste 150, Salem, OR 97304 2012-08-16
1336401017 Trillium Family Services Community/Behavioral Health 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 2012-06-08
1033428198 Kathleen Ketelson Nurse Practitioner 560 Wallace Rd Nw Ste 140, Salem, OR 97304 2010-10-06
1922332535 Robert Scott Mcadam Social Worker 1245 Edgewater St. Nw, Salem, OR 97304 2009-09-29
Find all providers in zip 97304

Taxonomy Information

Taxonomy Code 2085H0002X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A radiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Competitor

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City SALEM
Zip Code 97304

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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