OrganizationActive
Boardman Surgical LLC
NPI 1033700059 · Surgical Physician Assistant · Milwaukie, OR
Provider details
- NPI number
- 1033700059
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ellie Boardman, Owner(503) 307-0159
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Assistant246ZC0007X
Technologists, Technicians & Other Technical Service Providers
Practice location
15074 Se Bevington Ave
Milwaukie, OR 97267-3357
Phone: (503) 307-0159
Approximate (ZIP-level) locationGet directions
Mailing address
15074 Se Bevington Ave
Milwaukie, OR 97267-3357
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.