Provider Demographics
NPI:1043540529
Name:BOYD, ANNA LEE (ND)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LEE
Last Name:BOYD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 LANCASTER DR SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97317-5643
Mailing Address - Country:US
Mailing Address - Phone:503-877-1995
Mailing Address - Fax:888-990-1352
Practice Address - Street 1:608 LANCASTER DR SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97317-5643
Practice Address - Country:US
Practice Address - Phone:503-877-1995
Practice Address - Fax:888-990-1352
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1708175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath