| Doctor Name: | MR. JOE NELSON BOYER |
| NPI Number: | 1790945707 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | QMHP |
| License Number: | |
| Business Practice Address: | 528 E Main Suite W John Day, OR - 97845 |
| Business Phone Number: | 5415751466 |
| Business Fax Number: | 5415751411 |
| Mailing Address: | 528 E. Main Suite W, JOHN DAY |
| State: | OR |
| Postal Code: | 97845 |
| Phone Number: | 5415751466 |
| Fax Number: | 5415751411 |
| NPI Enumeration Date: | 06/12/2008 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |