Healthcare Provider Details

I. General information

NPI: 1801341649
Provider Name (Legal Business Name): EMMA BOYER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 08/06/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W B ST STE H
SPRINGFIELD OR
97477-4575
US

IV. Provider business mailing address

175 W B ST BLDG B2
SPRINGFIELD OR
97477-4575
US

V. Phone/Fax

Practice location:
  • Phone: 541-423-2633
  • Fax: 541-299-5685
Mailing address:
  • Phone: 541-423-2633
  • Fax: 541-682-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC5569
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: