NPI 1164855730 · live from the CMS NPI Registry
Annaleigh Boggess
Emergency Medicine in Cottage Grove, OR. National Provider Identifier 1164855730, active.
NPI record
| NPI | 1164855730 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1515 Village Dr, Cottage Grove, OR 97424 |
| Practice phone | 541-767-5222 |
| Mailing address | Po Box 5920, Eugene, OR 97405 |
| Enumerated | August 18, 2013 |
| Last updated | December 20, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | MD2019-0748 (NM) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (NM) |
| Emergency Medicine primary | 207P00000X | MD203337 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.