Provider Demographics
NPI:1184630816
Name:BOYLE, PATRICK JAMES (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JAMES
Last Name:BOYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 NW HWY 101
Mailing Address - Street 2:SUITE A
Mailing Address - City:DEPOE BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97341
Mailing Address - Country:US
Mailing Address - Phone:541-765-3265
Mailing Address - Fax:
Practice Address - Street 1:539 NW HWY 101
Practice Address - Street 2:SUITE A
Practice Address - City:DEPOE BAY
Practice Address - State:OR
Practice Address - Zip Code:97341
Practice Address - Country:US
Practice Address - Phone:541-765-3265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD29083207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism