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Search › Oregon › 363A00000X

Andrew Bodmer, PA-C

NPI 1083860548 · on the registry since 2008

Practice

Address
18040 Sw Lower Boones Ferry Rd
Suite 100
Tigard, OR 97224
Phone
(503) 216-0700
Organisation at this address
Medical Imaging Group, Llc
Bridgeport Medical Imaging, Llc
Providence Health & Services Oregon
Northwest Extremity Specialists Llc
Providence Health & Services Oregon
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
AZ, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon