MEDICARE: GEDEON BYIRINGIRO

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	104100000X	Social Worker		ID

General Provider Information

NPI Number	:	1770439903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEDEON BYIRINGIRO

Provider Business Mailing Address
First Line	:	722 E OLD SAYBROOK LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-5104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 E OLD SAYBROOK LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-5104
Country	:	US
Telephone Number	:	208-202-9732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ GEDEON BYIRINGIRO ” Practice Location

Language	Start Address	Practice Location

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