Organization · Type 2 NPI
Boardman Surgical LLC
Surgical Physician Assistant · Milwaukie, OR
NPI number
1033700059
Active
Practice location
15074 SE Bevington Ave
Milwaukie, OR 97267-3357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1033700059
Boardman Surgical LLC's National Provider Identifier is 1033700059, issued on Feb 2, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Milwaukie, OR. The record was last updated on Feb 3, 2021.