ELIZABETH BODENNER
NPI 1477194181
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since October 03, 2019
6011 NE OREGON ST, PORTLAND, OR 97213(971) 319-4827(503) 662-6221 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Oct 3, 2019 (2 updates tracked since 2019).

About Elizabeth Bodenner NPPES

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

ELIZABETH BODENNER (NPI 1477194181) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1477194181
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH BODENNER
Location Address6011 NE OREGON STPortland, OR 97213-4300
Mailing Address9133 N Allegheny AvePortland, OR 97203-2303
Fax(503) 662-6221
Sole ProprietorYes
Enumeration DateOctober 3, 2019
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1477194181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6011 NE OREGON ST, Portland, OR 97213

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.

Marriage & Family Therapist
6011 NE OREGON ST
PORTLAND, OR 97213
Social Worker (Clinical)
6011 NE OREGON ST
PORTLAND, OR 97213
Case Manager/Care Coordinator
6011 NE OREGON ST
PORTLAND, OR 97213
Student in an Organized Health Care Education/Training Program
6011 NE OREGON ST
PORTLAND, OR 97213
Student in an Organized Health Care Education/Training Program
6011 NE OREGON ST
PORTLAND, OR 97213
Counselor (Professional)
6011 NE OREGON ST
PORTLAND, OR 97213
Social Worker (Clinical)
6011 NE OREGON ST
PORTLAND, OR 97213
Social Worker (Clinical)
6011 NE OREGON ST
PORTLAND, OR 97213

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 Bodenner's NPI number?

The NPI number for Elizabeth Bodenner is 1477194181. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Elizabeth Bodenner located?

Elizabeth Bodenner practices at 6011 NE Oregon St, Portland, OR 97213. The listed phone number is (971) 319-4827.

What is Elizabeth Bodenner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Bodenner was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.