Healthcare Provider Details

I. General information

NPI: 1447188743
Provider Name (Legal Business Name): JAMIEE L BOOHER HCA,NAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12930 E MANSFIELD AVE APT EE101
SPOKANE VALLEY WA
99216-5172
US

IV. Provider business mailing address

12930 E MANSFIELD AVE APT EE101
SPOKANE VALLEY WA
99216-5172
US

V. Phone/Fax

Practice location:
  • Phone: 480-698-7014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHMCC.HM.61669413
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: