THEORAM MICHAEL BOONE FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1376320077- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP-C
- Status
- Active
Contact & Location
- Address
- 3680 NW SAMARITAN DR STE 100, CORVALLIS, OR, 973303737
- Phone
- (541) 754-1150
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: OR #10005506