MEDICARE: MARIAN L BOYE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		OR

General Provider Information

NPI Number	:	1144645540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIAN L BOYE

Provider Business Mailing Address
First Line	:	PO BOX 1157
Second Line	:
City	:	BROOKINGS
State	:	OR
Zip	:	97415-0030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	97829 SHOPPING CENTER AVE STE F
Second Line	:
City	:	BROOKINGS
State	:	OR
Zip	:	97415-9135
Country	:	US
Telephone Number	:	541-469-3446
Fax Number	:	541-469-7012

Authorized Official
Title or Position	:	OWNER
Name	:	MARIAN L BOYE
Credential	:
Telephone Number	:	541-469-3446

Provider Enumeration Date	:	02/22/2014
Last Update Date	:	08/27/2020

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Directions to “MARIAN L BOYE ” Practice Location

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