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ELIZABETH JEAN BOUDREAU PA-C
NPI 1104544238
Physician Assistant - Medical in Portland, OR

Active since August 15, 2022PECOS EnrolledAccepts Medicare Assignment
3303 S BOND AVE, PORTLAND, OR 97239(503) 494-5058(503) 494-5065 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, Oct 2, 2023, Aug 15, 2022 (3 updates tracked since 2022).

About Elizabeth Jean Boudreau Pa-c NPPES

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

ELIZABETH JEAN BOUDREAU PA-C (NPI 1104544238) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA217617) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1104544238
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELIZABETH JEAN BOUDREAUCredential: PA-C
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (866) 617-6855 · Fax (503) 346-8015
Phone(503) 494-5058
Fax(503) 494-5065
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2023
Enumeration DateAugust 15, 2022
Last NPPES UpdateJanuary 10, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2024
✔ NPI 1104544238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA217617
3303 S BOND AVE, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-6594 · Fax (503) 494-4285

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Jean Boudreau Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284077223
PECOS Enrollment IDI20240207001498
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

CHERYL STOMBERG FNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-6594
KIT MIRANDA
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-5947
MRS. LINDSAY EVELYN WYANT PAC
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8510
MS. STEFANIE ANN BROWN L.C.S.W.
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-1775
DR. MELISSA DANIELLE ADAIR ARNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
EMMA MARIANE JONES
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8573
EMMA JO NEUMANN
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-7730
MICHAEL ZATT
Psychiatry & Neurology (Neurology)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-7772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Boudreau's NPI number?

The NPI number for Elizabeth Boudreau is 1104544238. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Elizabeth Boudreau located?

Elizabeth Boudreau practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-5058.

What is Elizabeth Boudreau's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elizabeth Boudreau enrolled in Medicare?

Yes. Elizabeth Boudreau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Boudreau accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Elizabeth Boudreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elizabeth Boudreau affiliated with any hospitals?

According to CMS data, Elizabeth Boudreau is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Elizabeth Boudreau was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.