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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477194181

Elizabeth Bodenner is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

6011 NE Oregon St
Portland, OR 97213-4300
Phone: (971) 319-4827
Fax: (503) 662-6221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1477194181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2019
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address9133 N Allegheny Ave, Portland, OR 97203-2303

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