Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1708 | OR |
NPI | 1043540529 |
---|---|
Provider Name | Dr. Anna Lee Boyd |
First Address | Salem, OR 97317-5643 |
Second Address | Salem, OR 97317-5643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2010 |
Last Update Date | 18/09/2014 |