IndividualActive
Lawrence Boone, CSA
NPI 1427679778 · Surgical Assistant · Stayton, OR
Provider details
- NPI number
- 1427679778
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1315 (AZ)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1401 N 10th Ave
Stayton, OR 97383-1311
Phone: (503) 769-9314
Approximate (ZIP-level) locationGet directions
Mailing address
2844 Hoover Ave Nw
Salem, OR 97304-3789
Registry dates
- Enumerated
- 2020-04-28
- Last updated
- 2020-04-28
- Certified
- 2020-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.