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

Theoram Michael Boone, FNP-C

Individual provider Family Nurse Practitioner · NPI 1376320077

Theoram Michael Boone, FNP-C is a Nurse Practitioner in Corvallis, Oregon. Qualified in 2023, 3 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3680 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3737
Phone: (541) 754-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5940 Ulali Dr Ne, Keizer, OR 97303-1500 — (800) 813-2000
  • 2400 Lancaster Dr Ne, Salem, OR 97305-1297 — (800) 813-2000
  • 5125 Skyline Rd S, Salem, OR 97306-9413 — (503) 813-2000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10005506 (OR)

Record details

NPI number1376320077
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 14, 2023
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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