Individual provider · Type 1 NPI

Elizabeth Jean Boudreau, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1104544238 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Call (503) 494-5058 Map

Fax (503) 494-5065

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-6594

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA217617 (OR)

Medical Physician Assistant: Definition to come...

207 other providers at this address

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About NPI 1104544238

Elizabeth Jean Boudreau, PA-C's National Provider Identifier is 1104544238, issued on Aug 15, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 10, 2024.