Provider Demographics
NPI:1134448491
Name:BOYD, RITA ANN (LPC)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:ANN
Last Name:BOYD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 - B MAIN ST. #203
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1821
Mailing Address - Country:US
Mailing Address - Phone:503-936-9679
Mailing Address - Fax:
Practice Address - Street 1:714 - B MAIN ST #203
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-1821
Practice Address - Country:US
Practice Address - Phone:503-936-9679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1404101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor