Koosje Boyd, | |
4855 Sw Western Ave, Beaverton, OR 97005-3460 | |
(503) 890-5139 | |
Not Available |
Full Name | Koosje Boyd |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4855 Sw Western Ave, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1790403038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Koosje Boyd, 13145 Sw Snowshoe Ln, Beaverton, OR 97008-8085 Ph: () - | Koosje Boyd, 4855 Sw Western Ave, Beaverton, OR 97005-3460 Ph: (503) 890-5139 |
Yingjie Cao, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4484 Sw Shem Ter, Beaverton, OR 97078 Phone: 206-972-0433 | |
Andrea Q Vintro, MS, RD, CSSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 735 Sw 158th Ave # 160, Beaverton, OR 97006 Phone: 503-915-2555 | |
Amy Anderson, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1900 Nw Arcadia Ct, Beaverton, OR 97006 Phone: 503-505-0495 | |
Sarah Larimer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 Phone: 503-352-6000 Fax: 503-352-6080 | |
Elaine Sim, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17243 Nw Widgi Creek Ct, Beaverton, OR 97006 Phone: 503-547-4106 | |
Susan Gangler Landgren, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006 Phone: 503-646-0161 | |
Gi Nutrition Nw, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 4145 Sw Watson Ave Ste 350, Beaverton, OR 97005 Phone: 971-238-2369 Fax: 971-277-5491 |