Individual provider Active NPI

Matthew Todd Boire, M.D.

  • Psychiatry Physician
  • Bend, OR
National Provider Identifier
1235449463
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD160305 Issued in OR
Practice address
19550 Amber Meadow Dr Ste 130-1077
Bend, OR 97702-3525
Phone
(541) 728-3702
NPI assigned
Oct 21, 2010
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD160305 OR Primary

Addresses

Primary practice location

19550 Amber Meadow Dr Ste 130-1077
Bend, OR 97702-3525

Mailing address

19550 Amber Meadow Dr Ste 130-1077
Bend, OR 97702-3525
Phone (541) 728-3702

Other practice location 1

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 382-4321

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mboire1656928@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, HI, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150615002283 OR Practitioner - Psychiatry 3971749276 Reassigns benefits to 4 organizations
I20210222001025 HI Practitioner - Internal Medicine 3971749276 Reassigns benefits to 1 organization
I20220401000512 WA Practitioner - Psychiatry 3971749276 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Jan 1, 2021 Accepting new patients
Peacehealth Current Accepting new patients
Deschutes County Oregon CurrentSince Mar 15, 2016 Accepting new patients
Kau Hospital CurrentSince Jan 1, 2021 Accepting new patients
Rainier Springs Physician Group, LLC Psychiatry CurrentSince Mar 4, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Apr 29, 2018 Accepting new patients
Peacehealth Current Accepting new patients
Ubh of Oregon, LLC CurrentSince Oct 3, 2022 Accepting new patients
Central Oregon TMS LLC, Dba MD Telepsychiatry Psychiatry CurrentSince Mar 1, 2021 Accepting new patients
Deschutes County Oregon CurrentSince Mar 15, 2016 Accepting new patients
Legacy Emanuel Hospital & Health Center Psychiatry CurrentSince Apr 29, 2018 Accepting new patients
St. Charles Health System, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
St. Charles Health System, Inc. Current Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

29358 Network Pl
Chicago, IL 60673

1885 NE Purcell Blvd
Bend, OR 97701
Phone (541) 706-2700

19550 Amber Meadow Dr
Ste 130
Bend, OR 97702
Phone (541) 969-3494

19550 Amber Meadow Dr
Ste 1301077
Bend, OR 97702
Phone (541) 728-3702

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

10300 SW Eastridge St
Portland, OR 97225
Phone (503) 944-5000

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

2805 NE 129th St
Vancouver, WA 98686
Phone (360) 356-1890

Interoperability endpoints

  • Direct secure messaging: mboire1656928@oc.providencedirect.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1235449463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 AMBER MEADOW DR STE 130-1077",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023525",
            "telephone_number": "541-728-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 AMBER MEADOW DR STE 130-1077",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023525",
            "telephone_number": "541-728-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 NE Neff Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016015",
            "country_code": "US",
            "telephone_number": "541-382-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOIRE",
        "first_name": "MATTHEW",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD160305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mboire1656928@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "4805 NE Glisan St Unit 5Th6th",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.