Individual
JOHN MICHAEL BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3098
(503) 418-9112
Mailing address
2241 LLOYD CTR, PORTLAND, OR 97232-1315
(503) 494-6107
(503) 494-0470
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OR 1265 ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015982
—
OR
01
—
410043868
RAILROAD MEDICARE
—
Enumeration date
05/27/2006
Last updated
07/29/2010
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