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

Elizabeth Victoria Boggio, MD

Individual provider Family Medicine Physician · NPI 1558853390

Elizabeth Victoria Boggio, MD is a Family Practice in Roseburg, Oregon. Qualified in 2018, 8 years ago. Practices with Evergreen Family Medicine PC, a 55-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD214311 (OR)

Record details

NPI number1558853390
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Evergreen Family Medicine Pc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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