Boyer, John Michael
Boyer, John Michael is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. He recently has only one registered license in Eye and Vision Services Providers / Low Vision Rehabilitation, which is considered as his primary health care specialty. Boyer, John Michael can be contacted via phone (503) 494-3098.Contact Information
Primary practice address
3303 Sw Bond Ave
Portland OR 97239-4501
Phone: (503) 494-3098
Fax: (503) 418-9112
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OR 1265 ATI | Oregon |
Profile Details
NPI number | 1891742722 |
---|---|
LBN Legal business name | Boyer, John Michael |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Jul 29th, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891742722 | NPPES |
Oregon | MEDICAID | 015982 | |
Oregon | Other | 410043868 |
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