Healthcare Provider Details

I. General information

NPI: 1447177118
Provider Name (Legal Business Name): MR. BOYD FERRIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 AIRPORT RD
HOOPA CA
95546-9615
US

IV. Provider business mailing address

PO BOX 520
HOOPA CA
95546-0520
US

V. Phone/Fax

Practice location:
  • Phone: 530-625-4261
  • Fax: 530-618-5773
Mailing address:
  • Phone: 530-625-4261
  • Fax: 530-618-5773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: