ELLIE RAINES BOARDMAN NPI 1346839347

NPI Information

NPI: 1346839347
Provider Name: ELLIE RAINES BOARDMAN
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
15074 SE BEVINGTON AVE
MILWAUKIE, OR
ZIP 97267
Phone: (503) 307-0159
Get Directions

Ellie Raines Boardman is a surgical physician assistant in Milwaukie, OR. Ellie Raines Boardman NPI is 1346839347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15074 SE BEVINGTON AVE
MILWAUKIE, OR
ZIP 97267
Phone: (503) 307-0159

The enumeration date for this NPI number is 1/13/2021 and was last updated on 1/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes
2	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	199221		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »