Individual
BILLY L. BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
850 SW 4TH ST, MADRAS, OR 97741-9628
(541) 475-4822
Mailing address
850 SW 4TH ST, MADRAS, OR 97741-9628
(541) 475-4822
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20-CRM-295
OR
Other
Enumeration date
11/24/2020
Last updated
02/20/2023
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