Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW DAVID BODMER, PA-C
ActiveANDREW DAVID BODMER, PA-C is a Physician Assistant healthcare provider located in TIGARD, Oregon. NPI 1083860548 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TIGARD, OR
Registration Details
- NPI Number
- 1083860548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2008 (18.001999662834 yrs)
- Last Updated
- Oct 5, 2020
- Licenses
-
T-4239 (AZ)PA161375 (OR)
Practice Information
- Address
-
18040 SW LOWER BOONES FERRY RDSUITE 100TIGARD, OR, 972247259Browse OR providers · Browse ZIP 97224
- Phone
- 5032160700
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| JEFFREY B MELNICK | PA | 1245273374 |
| MR. RANDALL LYNN ARCHIBALD | PA-C | 1396752119 |
| MRS. MELISSA D PENG | PA | 1508876483 |
| JENNIFER K. VAN ATTA | PA | 1295818383 |
| SARAH F FRITZ | PA-C | 1750464541 |
| ALEXANDRA JANE MCMENAMIN | PA-C | 1356426407 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.