Most Relevant Information
Provider Data
NPI Number: | 1003026196 |
Provider Name: | DIANE BOYCE QMHP |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 05/23/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
1975 MCPHERSON ST
SUITE 2
NORTH BEND
OR
974593482
Practice Location Phone/Fax
Phone: | 5417562020 |
Fax: | 5417568982 |
Provider Mailing Location
1975 MCPHERSON ST
SUITE 2
NORTH BEND
OR
974593482
Provider Mailing Phone/Fax
Phone: | 5417562020 |
Fax: | 5417568982 |