- Practice location
- 2411 Mlk Jr Blvd, Eugene, OR 97401-5824
- Phone
- 541-682-3550
- Fax
- —
- Last updated
- August 7, 2023
Gavin D Boldizsar is a Peer Specialist based in Eugene, OR. Gavin D Boldizsar practices in Eugene, OR. The NPI Number for Gavin D Boldizsar is 1306529490 and holds a License No. THW00019404 (OR). The current practice location address for Gavin D Boldizsar is 2411 Mlk Jr Blvd, Eugene, OR 97401-5824 and can be reached out via phone at 541-682-3550.
Provider Profile Details
- NPI Number
- 1306529490
- Provider Name
- Gavin D Boldizsar
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2411 Mlk Jr Blvd, Eugene, OR 97401-5824
- Phone Number
- 541-682-3550
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2023
- Last Update Date
- August 7, 2023
- Certification Date
- August 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2411 Mlk Jr Blvd
Eugene, OR 97401-5824 - City
- Eugene
- State
- Oregon
- Zip
- 97401-5824
- Phone Number
- 541-682-3550
Provider Business Mailing Address Details
- Address
- 2765 NW Orchard Heights Ave
Albany, OR 97321-1397 - City
- Albany
- State
- OR
- Zip
- 97321-1397
- Phone Number
- 541-760-8845
License Information
- License Number
- THW00019404
- License State
- OR
- Taxonomy
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Gavin D Boldizsar?
The NPI number of Mr. Gavin D Boldizsar is 1306529490. It was assigned on August 7, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Gavin D Boldizsar?
Mr. Gavin D Boldizsar is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in OR under license number THW00019404.
Where does Mr. Gavin D Boldizsar practice?
The practice location is 2411 Mlk Jr Blvd, Eugene, OR 97401-5824. The office can be reached at 541-682-3550 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306529490 directly on the NPPES registry website.