ELLIE RAINES BOARDMAN
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1346839347- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 15074 SE BEVINGTON AVE, MILWAUKIE, OR, 97267
- Phone
- (503) 307-0159
Specialties & Taxonomies
Specialist/Technologist, Other, Surgical Assistant
#199221
Physician Assistant, Surgical
Primary