Individual
MR. MICHAEL ANTHONY BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 NE TILLAMOOK ST, PORTLAND, OR 97213-1313
(503) 349-2606
Mailing address
3617 SE 60TH AVE, PORTLAND, OR 97206-2828
(503) 349-2606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L 4186
OR
Other
Enumeration date
04/15/2008
Last updated
02/26/2009
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