Boardman, Ellie Raines

Boardman, Ellie Raines is an sole proprietor health care provider with primary practice located at 15074 Se Bevington Ave , Milwaukie OR 97267. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Boardman, Ellie Raines can be contacted via phone (503) 307-0159.

Contact Information

Primary practice address
15074 Se Bevington Ave Milwaukie OR 97267
Phone: (503) 307-0159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 199221
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1346839347
LBN Legal business name Boardman, Ellie Raines
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2021
Last updated Jan 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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