DR. DEVRAUX R BOSHARD DO NPI 1629692843

NPI Information

  • NPI: 1629692843
  • Provider Name: DR. DEVRAUX R BOSHARD, DO
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5441 S MACADAM AVE # 4717
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 926-9460

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NPI Details

DR. Devraux R Boshard, DO is a child and adolescent psychiatry psychiatry neurology in Portland, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Devraux R Boshard, DO NPI is 1629692843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5441 S MACADAM AVE # 4717
PORTLAND, OR
ZIP 97239-106
Phone: (503) 926-9460

The NPI 1629692843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2020 and was last updated on 10/16/2025.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryDO215905OREGONYes
22084P0800XPsychiatry & NeurologyPsychiatryDO215905OREGONNo

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: 11/21/2025

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