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DR. DEVRAUX R BOSHARD DO
NPI 1629692843
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since June 03, 2020PECOS Enrolled
5441 S MACADAM AVE # 4717, PORTLAND, OR 97239(503) 926-9460 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, Nov 25, 2025, May 15, 2024 and 1 more (4 updates tracked since 2020).

About Dr. Devraux R Boshard Do NPPES

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

DR. DEVRAUX R BOSHARD DO (NPI 1629692843) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in Oregon (DO215905) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1629692843
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DEVRAUX R BOSHARDCredential: DO
Location Address5441 S MACADAM AVE # 4717Portland, OR 97239-6106
Mailing Address5441 S Macadam Ave # 4717Portland, OR 97239-6106 · (503) 926-9460 · Fax (971) 350-1563
Phone(503) 926-9460
Sole ProprietorNo
Enumeration DateJune 3, 2020
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1629692843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in OR · DO215905✔ Licensed in WA · DO.OP.70013779
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License DO215905 (OR), DO.OP.70013779 (WA)
5441 S MACADAM AVE # 4717, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 113500 SE 7th StVancouver, WA 98683-6909 · Phone (360) 699-2244

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Devraux R Boshard Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Devraux Boshard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Emanuel Hospital & Health Center
3.4 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Devraux Boshard's NPI number?

The NPI number for Devraux Boshard is 1629692843. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Where is Devraux Boshard located?

Devraux Boshard practices at 5441 S Macadam Ave # 4717, Portland, OR 97239. The listed phone number is (503) 926-9460.

What is Devraux Boshard's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Devraux Boshard enrolled in Medicare?

Yes. Devraux Boshard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Devraux Boshard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devraux Boshard reassigns Medicare benefits to Legacy Emanuel Hospital & Health Center (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devraux Boshard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Devraux Boshard accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Devraux Boshard 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.

When was this NPI record last updated?

The NPPES record for Devraux Boshard was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.