Individual provider · Type 1 NPI

Theoram Michael Boone, FNP-C

Family Nurse Practitioner · Corvallis, OR

NPI number 1376320077 Active

Practice location

3680 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3737

Call (541) 754-1150 Map

Mailing address

444 NW Elks Dr
Corvallis, OR 97330-3745

Other practice locations

  • 5125 Skyline Rd S, Salem, OR 97306-9413 · (503) 813-2000
  • 2400 Lancaster Dr NE, Salem, OR 97305-1297 · (800) 813-2000
  • 5940 Ulali Dr NE, Keizer, OR 97303-1500 · (800) 813-2000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10005506 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1376320077

Theoram Michael Boone, FNP-C's National Provider Identifier is 1376320077, issued on Sep 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Corvallis, OR. The record was last updated on Jan 21, 2026.