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NPI Code Detail

MEDICARE: CHRISTINE ELIZABETH BOYINGTON

MEDICARE: CHRISTINE ELIZABETH BOYINGTON
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1871680272
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ELIZABETH BOYINGTON
Provider Business Mailing Address
First Line : 2367 STATE ST
Second Line : SUITE 100
City : SALEM
State : OR
Zip : 97301-4505
Country : US
Telephone Number : 971-218-6238
Fax Number :
Provider Business Practice Location Address
First Line : 2367 STATE ST
Second Line : SUITE 100
City : SALEM
State : OR
Zip : 97301-4505
Country : US
Telephone Number : 971-218-6238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 10/23/2011

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Directions to “ CHRISTINE ELIZABETH BOYINGTON ” Practice Location

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