Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon Pain Clinic

Organization Interventional Pain Medicine Physician · NPI 1477941672

Beacon Pain Clinic is an Interventional Pain Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014

Practice location Address checks out

115 W Main St 102
Boise, ID 83702-7302
Phone: (208) 342-2104
Fax: (208) 342-4710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence M9987 (ID)

Record details

NPI number1477941672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebekah Guy — Physician · (208) 342-2104
NPI enumeratedDecember 23, 2014
Last updated in NPPESDecember 23, 2014
Mailing address115 W Main St, 102, Boise, ID 83702-7302

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