Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIE RAINES BOARDMAN
Active Sole ProprietorELLIE RAINES BOARDMAN is a Surgical Physician Assistant healthcare provider located in MILWAUKIE, Oregon. NPI 1346839347 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MILWAUKIE, OR
Registration Details
- NPI Number
- 1346839347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2021 (5.6021011836379 yrs)
- Last Updated
- Jan 20, 2021
- License
-
199221
- Sole Proprietor
- Yes
Practice Information
- Address
-
15074 SE BEVINGTON AVEMILWAUKIE, OR, 97267Browse OR providers · Browse ZIP 97267
- Phone
- 5033070159
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
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.