Individual
MS. BEBE ESPRIT BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(971) 235-6152
Mailing address
760 NORMAL AVE, ASHLAND, OR 97520-2421
(971) 235-6152
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
114147
OR
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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