Andrew D Bodmer, PA-C
Physician Assistant in Tigard, Oregon
1083860548- Practice location
- 18040 SW Lower Boones Ferry RD, Suite 100, Tigard, OR 97224-7259
- Phone
- 503-216-0700
- Fax
- —
- Last updated
- October 5, 2020
Andrew D Bodmer, PA-C is a Physician Assistant based in Tigard, OR. Andrew D Bodmer, PA-C holds the professional credentials of PA-C. The NPI number for Andrew D Bodmer, PA-C is 1083860548 and holds license No. T-4239 (AZ). The current practice location address is 18040 SW Lower Boones Ferry RD, Suite 100, Tigard, OR 97224-7259 and the office can be reached by phone at 503-216-0700. The NPI was assigned on August 14, 2008 and the record was last updated in NPPES on October 5, 2020.
●Provider Profile Details
- NPI Number
- 1083860548
- Provider Name
- Andrew David Bodmer
- Credential
- PA-C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Enumeration Date
- August 14, 2008
- Last Update Date
- October 5, 2020
- Certification Date
- October 5, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 18040 SW Lower Boones Ferry RD
Suite 100
Tigard, OR 97224-7259 - City
- Tigard
- State
- Oregon
- ZIP
- 97224-7259
- Country
- US
- Phone Number
- 503-216-0700
✉Business Mailing Address
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- ZIP
- 97208-3158
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant, Medical | 363AM0700X | No | T-4239 | AZ |
| Physician Assistant | 363A00000X | Yes | PA161375 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Tigard →?Frequently Asked Questions
What is the NPI number of Andrew D Bodmer, PA-C?
The NPI number of Andrew D Bodmer, PA-C is 1083860548. It was assigned on August 14, 2008 and is currently active in the NPPES registry.
What is the specialty of Andrew D Bodmer, PA-C?
Andrew D Bodmer, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. T-4239 (AZ).
Where does Andrew D Bodmer, PA-C practice?
The practice location is 18040 SW Lower Boones Ferry RD, Suite 100, Tigard, OR 97224-7259. The office can be reached at 503-216-0700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083860548 directly on the NPPES registry website at npiregistry.cms.hhs.gov.