Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew David Bodmer, PA-C

Individual provider Medical Physician Assistant · NPI 1083860548

Andrew David Bodmer, PA-C is a Physician Assistant in Tigard, Oregon. Qualified in 2008, 18 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Oregon.

Years since qualifying
18
Licensed in
AZ, OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18040 SW Lowr Boones Ferry RD Ste 100
Tigard, OR 97224-7259
Phone: (503) 216-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA161375 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence T-4239 (AZ)

Record details

NPI number1083860548
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2008
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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