Boost Collaborative

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BOOST COLLABORATIVE

Doing business as

Palouse Industries

Practice address

115 NW State Street
Suite 106
Pullman, WA 99163-2616

Phone

(509) 332-4420

Fax

(509) 339-2399

NPI assigned

Dec 19, 2007

Last updated

Jul 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric C. Hoyle

Title

Executive Director

Phone

(509) 332-6561

Specialties & licenses 2

Addresses

Other names 1

• PALOUSE INDUSTRIES Doing business as

Locations

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1841474418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SE PROFESSIONAL MALL BOULEVARD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635437",
            "telephone_number": "509-332-6561",
            "fax_number": "509-332-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NW STATE STREET",
            "address_2": "SUITE 106",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632616",
            "telephone_number": "509-332-4420",
            "fax_number": "509-339-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOST COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "HOYLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-332-6561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WA",
            "license": "600 082 939",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALOUSE INDUSTRIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn Louise Blumenshein
• Lori W Bobo, CDP
• Anikka Boggess
• Danielle Michelle Bonner, LMP
• Stephanie L Boone
• Michelle A Bower, M.A., CCC-SLP
• Jonathan Bowman, DPT
• Jeana Boyd, LMSW
• Lennis K Boyer, MD
• Kristine Ellen Brenc, NP-C

• Voluntary or Charitable Agency in Pullman, WA
• Providers in Pullman, WA by specialty
• Voluntary or Charitable Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.