Lookup NPI Numbers from the NPI Registry
NPI Profile for BOARDMAN SURGICAL LLC in MILWAUKIE, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Surgical Assistant |
246ZC0007X |
| NPI Number | 1033700059 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/02/2021 | |
| Last updated | 02/03/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BOARDMAN SURGICAL LLC
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BOARDMAN SURGICAL LLC