Ellie Raines Boardman
Ellie Raines Boardman is a Surgical Assistant in Milwaukie, Oregon. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
15074 SE Bevington AveMilwaukie, OR 97267
Phone: (503) 307-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1500 Division St, Oregon City, OR 97045-1527 — (503) 650-6762
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 199221 |
Record details
| NPI number | 1346839347 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2021 |
| Last updated in NPPES | January 20, 2021 |
| Certification date | January 20, 2021 |
| Mailing address | 15074 Se Bevington Ave, Milwaukie, OR 97267 |
Other providers in Milwaukie
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Boardman Surgical LLC
15074 SE Bevington Ave, Milwaukie, OR 97267-3357 · (503) 307-0159