Eilis Ann Boudreau MD

NPI 1093737629 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1093737629
Gender Female
Enumeration Date 07/24/2006
Last Updated 07/15/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-7772
Fax
Business Location
3710 SW US VETERANS HOSPITAL RD
PO BOX 1034
PORTLAND OR, 97239-2964, US
Phone
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Oregon
License Number MD21118
Remove 1093737629 NPI Number
 

According to our database, Eilis Ann Boudreau MD NPI is 1093737629, taxonomy code is 2084N0400X and license number is MD21118, license state is located at Oregon. Eilis Ann Boudreau MD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Eilis Ann Boudreau MD has the Individual type.

Sponsored links

1093737629 NPI number is provided on an as is basis without warranty of any kind. 1093737629 is maintained by the National Plan & Provider Enumeration System. The contents of Eilis Ann Boudreau MD are for informational purposes only.