Provider Demographics
NPI:1326679085
Name:BOYD, ERIN M (CRM)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:BOYD
Suffix:
Gender:F
Credentials:CRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MADRAS
Mailing Address - State:OR
Mailing Address - Zip Code:97741-9628
Mailing Address - Country:US
Mailing Address - Phone:541-475-4822
Mailing Address - Fax:541-475-7257
Practice Address - Street 1:125 SW C ST
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-1458
Practice Address - Country:US
Practice Address - Phone:541-306-4566
Practice Address - Fax:541-320-9005
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20-CRM-2017175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist