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Contact Information

SAMUEL J BOYNTON, MD
3417 ENSIGN RD NE
OLYMPIA, WA98506
 Phone: 360-493-4600
 Fax: 360-493-4603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SAMUEL J BOYNTON · (Male)

NPI Number 1083827992
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2007
Last updated 05/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301088520
  • MN License # 54901
  • VA License # 0101256955
  • WA License # MD60681523
  • WA Medicaid 2068886
  • WA Other 0375504 LABOR & INDUSTRY
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
  • PEACHEALTH ST JOHN MEDICAL CENTER - (Acute Care)
    1615 DELAWARE STREET
    LONGVIEW, WA 98632
  • PROVIDENCE CENTRALIA HOSPITAL - (Acute Care)
    914 S SCHEUBER ROAD
    CENTRALIA, WA 98531
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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