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

Mark Boren, PA

Individual provider Physician Assistant · NPI 1790324002

Mark Boren, PA is a Physician Assistant in Portsmouth, New Hampshire. Qualified in 2021, 5 years ago. Practices with Vantage Healthcare LLC, a 69-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
5
Licensed in
NH
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

41 Staysail Way
Portsmouth, NH 03801-7304
Phone: (603) 380-8070
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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 1843 (NH)

Record details

NPI number1790324002
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vantage Healthcare Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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