Mr. Gavin D Boldizsar
Peer Specialist in Eugene, Oregon
1306529490- Practice location
- 2411 Mlk Jr Blvd, Eugene, OR 97401-5824
- Phone
- 541-682-3550
- Fax
- —
- Last updated
- August 7, 2023
Mr. Gavin D Boldizsar is a Peer Specialist based in Eugene, OR. The NPI number for Mr. Gavin D Boldizsar is 1306529490 and holds license No. THW00019404 (OR). The current practice location address is 2411 Mlk Jr Blvd, Eugene, OR 97401-5824 and the office can be reached by phone at 541-682-3550. The NPI was assigned on August 7, 2023 and the record was last updated in NPPES on August 7, 2023.
●Provider Profile Details
- NPI Number
- 1306529490
- Provider Name
- Gavin D Boldizsar
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Enumeration Date
- August 7, 2023
- Last Update Date
- August 7, 2023
- Certification Date
- August 7, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2411 Mlk Jr Blvd
Eugene, OR 97401-5824 - City
- Eugene
- State
- Oregon
- ZIP
- 97401-5824
- Country
- US
- Phone Number
- 541-682-3550
✉Business Mailing Address
- Address
- 2765 NW Orchard Heights Ave
Albany, OR 97321-1397 - City
- Albany
- State
- OR
- ZIP
- 97321-1397
- Phone Number
- 541-760-8845
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | THW00019404 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Eugene →?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) and holds license No. THW00019404 (OR).
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 at npiregistry.cms.hhs.gov.