EILIS ANN BOUDREAU MD
NPI 1093737629
Psychiatry & Neurology - Neurology in Portland, OR

Active since July 24, 2006
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-7772 Get Directions Write a Review

NPPES record last updated: July 15, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eilis Ann Boudreau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EILIS ANN BOUDREAU MD (NPI 1093737629) is an individual neurology provider in Portland, Oregon, licensed in Oregon (MD21118) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1093737629
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameEILIS ANN BOUDREAUCredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3710 Sw Us Veterans Hospital Rd, Po Box 1034Portland, OR 97239-2964
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 15, 2007
NPI 1093737629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OR · MD21118
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Other Identifiers 1

Medicaid027952OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD, UHN 80
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093737629, enumerated as an "individual" on July 24, 2006.

The provider is located at 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 and the phone number is (503) 494-7772.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.