Boone, Theoram Michael

Boone, Theoram Michael is an sole proprietor health care provider with primary practice located at 5940 Ulali Dr Ne , Keizer OR 97303-1500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Boone, Theoram Michael can be contacted via phone (800) 813-2000.

Contact Information

Primary practice address
5940 Ulali Dr Ne Keizer OR 97303-1500
Phone: (800) 813-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10005506 Oregon

Profile Details

NPI number 1376320077
LBN Legal business name Boone, Theoram Michael
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2023
Last updated Sep 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers