CARLI BOYD - NPI 1316457765 - Peer Specialist in Portland, OR

Q: What is Carli Boyd's NPI number?

The NPI number for Carli Boyd is 1316457765. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Q: What is Carli Boyd's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Carli Boyd was last updated on October 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Carli Boyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLI BOYD (NPI 1316457765) is an individual peer specialist in Portland, Oregon, licensed in Oregon (16-CRM-199) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1316457765

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameCARLI BOYD

Location Address726 W BURNSIDE STPortland, OR 97209-3515

Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 501-5641 · Fax (503) 241-7419

Phone(503) 944-4410

Fax(503) 295-3777

Sole ProprietorNo

Enumeration DateOctober 11, 2017

✔ NPI 1316457765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 16-CRM-199

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

726 W BURNSIDE ST, Portland, OR 97209

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT JOHN CRIPPEN CADC 1

Counselor (Addiction (Substance Use Disorder))