Individual
JACOB BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-4906
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-4906
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PG211291
OR
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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