ELLIE RAINES BOARDMAN
NPI 1346839347
Physician Assistant - Surgical in Milwaukie, OR

Q: What is Ellie Boardman's NPI number?

The NPI number for Ellie Boardman is 1346839347. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Q: What is Ellie Boardman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Ellie Boardman was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 13, 2021

15074 SE BEVINGTON AVE, MILWAUKIE, OR 97267(503) 307-0159 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Jan 13, 2021 (2 updates tracked since 2021).

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About Ellie Raines Boardman NPPES

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

ELLIE RAINES BOARDMAN (NPI 1346839347) is an individual surgical provider in Milwaukie, Oregon and active in the NPI registry since January 2021. She maintains a secondary practice location in Oregon City.

NPPES Registry Identity

NPI1346839347

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameELLIE RAINES BOARDMAN

Location Address15074 SE BEVINGTON AVEMilwaukie, OR 97267

Mailing Address15074 Se Bevington AveMilwaukie, OR 97267 · (503) 307-0159

Phone(503) 307-0159

Sole ProprietorYes

Enumeration DateJanuary 13, 2021

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1346839347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 199221

15074 SE BEVINGTON AVE, Milwaukie, OR 97267

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Secondary Practice Location 1

Location 11500 Division StOregon City, OR 97045-1527 · Phone (503) 650-6762 · Fax (503) 650-6851

Other Providers at the Same Location NPPES

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

BOARDMAN SURGICAL LLC

Physician Assistant (Surgical)

15074 SE BEVINGTON AVE
MILWAUKIE, OR 97267

Clackamas County (503) 307-0159

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 Ellie Boardman's NPI number?

The NPI number for Ellie Boardman is 1346839347. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Ellie Boardman located?

Ellie Boardman practices at 15074 SE Bevington Ave, Milwaukie, OR 97267. The listed phone number is (503) 307-0159.

What is Ellie Boardman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Ellie Boardman was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.