Individual
DR. CHRISTABETH GUPANA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 SE DIVISION ST, STE 115, PORTLAND, OR 97202-1085
(541) 754-1150
Mailing address
1235 SE DIVISION ST, STE 115, PORTLAND, OR 97202-1085
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A98049
CA
207Q00000X
Family Medicine Physician
Primary
MD158688
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033357736
—
CA
05
—
1154442986
—
CA
05
—
1831365667
—
CA
01
—
ZZZ55168Y
BS/TRIWEST
CA
Enumeration date
04/02/2007
Last updated
01/24/2019
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