Boise West of Cascadia, LLC

Practice location

Address

8211 Ustick Road, Boise, ID 83704-5756

Phone

(208) 886-6401

Fax

(844) 362-3862

Mailing address

408 S. Eagle Road Suite 205, Eagle, ID 83616

Authorised official

Name

Owen Hammond

Title

President

Phone

(208) 401-9600

Registered specialties

Registry record

NPI

1063966638

Entity type

Organization

NPI issued

11 Aug 2016

Record last updated

24 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.