Amy C Boudreau (NPI# 1114154069, PAC ID# 9234393471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1114154069 |
| PAC ID by PECOS | 9234393471 |
| Professional Enrollment ID | I20131104000539 |
| Full Name | Amy C Boudreau |
| Organization Legal Name | LIFEWAYS, INC |
| Address |
702 Sunset Dr Ontario OR 97914-3121 |
| Phone Number | 5418899167 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4183696214 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 702 Sunset Dr, Ontario, OR 97914-3121 | 5418899167 | LIFEWAYS, INC |
| Organization Legal Name | LIFEWAYS, INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda K Crisler | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Levonne F Kountz | Clinical Social Worker | Lifeways, Inc | 331 Se2nd St, Pendleton, OR 97801-2224 |
| Shannon C Blood | Nurse Practitioner | Lifeways, Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Ashley J Jorgensen | Clinical Social Worker | Lifeways, Inc | 595 Nw 11th St, Hermiston, OR 97838-6600 |
| Rachele N Burke | Clinical Social Worker | Lifeways, Inc | 595 Nw 11th St, Hermiston, OR 97838-6600 |
| Candice L Louise | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Todd A Salzsieder | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Sarah A Andrade | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Fruitland, ID 83619-2180 |
| Si R Steinberg | Psychiatry | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Ashley J Croft | Nurse Practitioner | Lifeways, Inc | 595 Nw 11th St, Hermiston, OR 97838-6600 |
| Street Address |
702 SUNSET DR |
| City | ONTARIO |
| State | OR |
| Zip | 97914-3121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney M Combe | Physician Assistant | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Becky J Wolery | Clinical Social Worker | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Timothy L Koberlein | Clinical Social Worker | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Ronnie B Isaacson | Physician Assistant | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Jayne M Stevenson | Psychiatry | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Amanda Vansant | Physician Assistant | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Haulek Tawmging | Nurse Practitioner | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Sarah N Wood | Physician Assistant | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Heidi A Brown | Physician Assistant | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Jennifer Cori Perrigo | Clinical Social Worker | Lifeways Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Oran Hardy | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Steven Blaine Anderson | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Daniel Walter Chudleigh | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Marguerite Overton | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Jeffrey C Pitts | Ophthalmology | 269 Sw 19th St, Ontario, OR 97914-1972 | |
| Bradley Scott Dalling | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Sharon E Morrison-doke | Qualified Speech Language Pathologist | 964 W Idaho Ave, Ontario, OR 97914-2111 | |
| Paul C Gering Jr. | Family Medicine | 1077 Sw 3rd Ave, Ontario, OR 97914-2125 | |
| Debra J Alexander | Nurse Practitioner | 1008 Sw 4th Ave, Ontario, OR 97914-2128 | |
| Roger W Allen | Chiropractic | 1193 Sw 4th Ave, Ontario, OR 97914-2129 | |
| Find all physicians in zip 97914 | |||
| City | ONTARIO |
| Zip Code | 97914 |
| Specialty | PSYCHIATRY |
| City + Specialty | ONTARIO + PSYCHIATRY |
Please comment or provide details below to improve the information on Amy C Boudreau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.