Individual
ROBERT BOYNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 E 7TH ST, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 296-4792
Mailing address
419 E 7TH ST, THE DALLES, OR 97058-2676
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/23/2015
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