Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boardman Surgical LLC

Organization Surgical Assistant · NPI 1033700059

Boardman Surgical LLC is a Surgical Assistant in Milwaukie, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15074 SE Bevington Ave
Milwaukie, OR 97267-3357
Phone: (503) 307-0159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Assistant Taxonomy 246ZC0007X

Record details

NPI number1033700059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellie Boardman — Owner · (503) 307-0159
NPI enumeratedFebruary 2, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address15074 Se Bevington Ave, Milwaukie, OR 97267-3357

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