Richard C. Boughn, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RICHARD C. BOUGHN, MD PC

Practice address

613 N 1St Ave
Stayton, OR 97383-1704

Phone

(503) 769-7771

Fax

(503) 769-4630

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ric Hard C Boughn, MD

Title

President

Phone

(503) 769-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1699086074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "503-769-7771",
            "fax_number": "503-769-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "503-769-7771",
            "fax_number": "503-769-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. BOUGHN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BOUGHN",
        "authorized_official_first_name": "RIC HARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-769-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072678",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "613 N 1st Ave",
            "city": "Stayton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973831704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Racheal Prisco, PSS,CRM
• Promotion Advanced Functional Rehab LLC (ProMotion Physical Therapy)
• Tiffanie Ann Pye, PHARMD, BCPS
• Brenda L Ramirez
• Adrienne Reifel
• Marlene Marie Richardson, LPC
• Derek Riley, D.O.
• Robert G. McGreevy MD, PC
• Ruben Pollak, DPM, PC
• Brian Saari, RPH

• Family Medicine Physician in Stayton, OR
• Providers in Stayton, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.