Ellie Raines Boardman
NPI #1346839347 in Milwaukie, Oregon
Provider Information
- NPI Number
- 1346839347
- Entity Type
- Individual
- Name
- Ellie Raines Boardman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Jan 13, 2021
- Last Updated
- Jan 20, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
| Physician Assistant - Surgical — Surgical |
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Organizations
| Provider Name | |
|---|---|
| Boardman Surgical LLC |
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