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General NPI Number Information
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NPI Number | 1437319423
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Entity Type | Individual
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Provider Name | KATHERINE LESLIE BOYD MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 501 SE 172ND AVE SUITE 250
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City | VANCOUVER
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State | WA
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Zip | 98684-9542
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Country | US
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Telephone | 360-882-2778
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Fax | 360-604-1719
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Provider Business Mailing Address
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Address Line | PO BOX 873010
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City | VANCOUVER
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State | WA
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Zip | 98687-3010
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Country | US
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Telephone | 360-882-2778
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Fax | 360-604-1719
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0101254341
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD60546990
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | MD60546990
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License Number State | WA
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