Provider Demographics
NPI:1245079847
Name:BOYD, LATOYA CHEREE
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:CHEREE
Last Name:BOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 N WATTS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-6615
Mailing Address - Country:US
Mailing Address - Phone:503-560-9192
Mailing Address - Fax:
Practice Address - Street 1:1833 N WATTS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-6615
Practice Address - Country:US
Practice Address - Phone:503-560-9192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula