Individual
KARISA BOYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 NW FILLMORE AVE, CORVALLIS, OR 97330-5624
(541) 207-5332
Mailing address
2151 NW FILLMORE AVE, CORVALLIS, OR 97330-5624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13492
OR
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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