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CHARLES ROY BOARDMAN RN
NPI 1720135643
Nurse Practitioner - Family in Portland, OR

Active since January 04, 2007
4226 NE GRAND AVE, PORTLAND, OR 97211(503) 333-3977 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Roy Boardman Rn NPPES

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

CHARLES ROY BOARDMAN RN (NPI 1720135643) is an individual family provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1720135643
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES ROY BOARDMANCredential: RN
Location Address4226 NE GRAND AVEPortland, OR 97211-3411
Mailing Address4226 Ne Grand AvePortland, OR 97211-3411 · (503) 333-3977
Phone(503) 333-3977
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1720135643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedRegistered NurseTaxonomy 163W00000X · License 562439 (NY)

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 Charles Boardman's NPI number?

The NPI number for Charles Boardman is 1720135643. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Charles Boardman located?

Charles Boardman practices at 4226 NE Grand Ave, Portland, OR 97211. The listed phone number is (503) 333-3977.

What is Charles Boardman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charles Boardman was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.