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Individual

SCOTT R BOYNTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP212532
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
E5296
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500812318
OR
Enumeration date
05/08/2014
Last updated
02/07/2023
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