| Charles Roy Boardman, RN | |
|
4226 Ne Grand Ave, Portland, OR 97211-3411 | |
| (503) 333-3977 | |
| Not Available |
| Full Name | Charles Roy Boardman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 4226 Ne Grand Ave, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720135643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 562439 (New York) | Primary |
| 163W00000X | Registered Nurse | (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Roy Boardman, RN 4226 Ne Grand Ave, Portland, OR 97211-3411 Ph: (503) 333-3977 | Charles Roy Boardman, RN 4226 Ne Grand Ave, Portland, OR 97211-3411 Ph: (503) 333-3977 |
Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988 | |
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555 | |
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808 | |
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575 | |
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090 | |
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242 | |
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700 |