Boudreau, Elizabeth Jean
Boudreau, Elizabeth Jean is an individual health care provider with primary practice located at 3303 S Bond Ave , Portland OR 97239-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boudreau, Elizabeth Jean can be contacted via phone (503) 494-5058.Contact Information
Primary practice address
3303 S Bond Ave
Portland OR 97239-4501
Phone: (503) 494-5058
Fax: (503) 494-5065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA217617 | Oregon |
Profile Details
| NPI number | 1104544238 |
|---|---|
| LBN Legal business name | Boudreau, Elizabeth Jean |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2022 |
| Last updated | Jan 10th, 2024 - about last year |
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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