NPI 1417692633 · live from the CMS NPI Registry
Jacob Boyd, DO
Dermatology in Salem, OR. National Provider Identifier 1417692633, active.
NPI record
| NPI | 1417692633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1793 13th St Se, Salem, OR 97302 |
| Practice phone | 503-362-8385 |
| Enumerated | May 2, 2022 |
| Last updated | June 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | DO214742 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.