Active NPIIndividual providerSole proprietor

Dana E Boonstra

Nurse Practitioner, Family in Eugene, Oregon

NPI Number1811656838
Practice location
995 Willagillespie RD Ste 100, Eugene, OR 97401-2186
Fax
—
Last updated
December 17, 2021

Dana E Boonstra is a Nurse Practitioner, Family based in Eugene, OR. The NPI number for Dana E Boonstra is 1811656838 and holds license No. 202114248NP-PP (OR). The current practice location address is 995 Willagillespie RD Ste 100, Eugene, OR 97401-2186 and the office can be reached by phone at 541-484-5437. The NPI was assigned on December 17, 2021 and the record was last updated in NPPES on December 17, 2021.

●Provider Profile Details

NPI Number
1811656838
Provider Name
Dana Elizabeth Boonstra
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Enumeration Date
December 17, 2021
Last Update Date
December 17, 2021
Certification Date
December 17, 2021
NPI Status
Active

◉Business Practice Location Address

Address
995 Willagillespie RD Ste 100
Eugene, OR 97401-2186
City
Eugene
State
Oregon
ZIP
97401-2186
Country
US
Phone Number
541-484-5437

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✉Business Mailing Address

Address
2720 Washington St
Eugene, OR 97405-2765
City
Eugene
State
OR
ZIP
97405-2765
Phone Number
541-517-6520

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family
193400000X - Single Specialty Group
363LF0000XYes202114248NP-PPOR

#Other Provider Identifiers

No legacy or other 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 Dana E Boonstra?

The NPI number of Dana E Boonstra is 1811656838. It was assigned on December 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Dana E Boonstra?

Dana E Boonstra is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 202114248NP-PP (OR).

Where does Dana E Boonstra practice?

The practice location is 995 Willagillespie RD Ste 100, Eugene, OR 97401-2186. The office can be reached at 541-484-5437 (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 1811656838 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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