Individual
EMILY CANDICE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 W 9TH ST, THE DALLES, OR 97058-1007
(541) 298-1920
(541) 298-1917
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-0609831
—
OR
Enumeration date
09/12/2016
Last updated
03/17/2018
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