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

Mr. Lawrence Boone, CSA

Individual provider Surgical Assistant · NPI 1427679778

Mr. Lawrence Boone, CSA is a Surgical Assistant in Stayton, Oregon. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

1401 N 10th Ave
Stayton, OR 97383-1311
Phone: (503) 769-9314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 1315 (AZ)

Record details

NPI number1427679778
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedApril 28, 2020
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020
Mailing address2844 Hoover Ave Nw, Salem, OR 97304-3789