Individual provider · Type 1 NPI
Ellie Raines Boardman
Surgical Physician Assistant · Milwaukie, OR
NPI number
1346839347
Active
Practice location
15074 SE Bevington Ave
Milwaukie, OR 97267
Other practice locations
- 1500 Division St, Oregon City, OR 97045-1527 · (503) 650-6762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | 199221 |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1346839347
Ellie Raines Boardman's National Provider Identifier is 1346839347, issued on Jan 13, 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 Jan 20, 2021.