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

Charles Roy Boardman, RN

Individual provider Registered Nurse · NPI 1720135643

Charles Roy Boardman, RN is a Registered Nurse in Portland, Oregon. Licensed in New York and Oregon. Registered with an NPI since 2007.

Licensed in
NY, OR
In the registry since
2007
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4226 NE Grand Ave
Portland, OR 97211-3411
Phone: (503) 333-3977
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X (OR)
Registered Nurse Taxonomy 163W00000X · Licence 562439 (NY)
Registered Nurse Taxonomy 163W00000X (OR)

Record details

NPI number1720135643
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address4226 Ne Grand Ave, Portland, OR 97211-3411

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