SHANDA J BOARDMAN


Address: 400 E 33rd St, Vancouver, WA 98663-2238
Phone: 3606962561

SHANDA J BOARDMAN (NPI# 1073771879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073771879
Entity Type Individual
Full Name SHANDA J BOARDMAN
Practice Address 400 E 33rd St
Vancouver
WA 98663-2238
Mailing Address 305 W Mcloughlin Blvd Apt 4
Vancouver
WA 98660-2564
Practice Telephone 3606962561
Mailing Telephone 3606962561
Enumeration Date 2008-05-28
Last Update Date 2008-05-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 400 E 33RD ST
City VANCOUVER
State WA
Zip Code 98663-2238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629099817 Kindred Nursing Centers West, LLC Skilled Nursing Facility 400 E 33rd St, Vancouver, WA 98663-2238 2006-07-22
1740631720 Ashley Hur Nurse's Aide 400 E 33rd St, Vancouver, WA 98663-2238 2016-06-30
1205282225 Lacey Ritter Speech-Language Pathologist 400 E 33rd St, Vancouver, WA 98663-2238 2016-05-09
1306267737 Crystal Rose Shutt Physical Therapy Assistant 400 E 33rd St, Vancouver, WA 98663-2238 2014-01-03
1205096872 Ann Hutchinson Occupational Therapist 400 E 33rd St, Vancouver, WA 98663-2238 2008-06-16
1962661769 Vancouver Health and Rehabilitation Skilled Nursing Facility 400 E 33rd St, Vancouver, WA 98663-2238 2008-06-05
1790943579 Makiko Arai Physical Therapy Assistant 400 E 33rd St, Vancouver, WA 98663-2238 2008-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053946673 Jessica Maree Carnes Dental Hygienist 6505 Nw Cherry Street, Vancouver, WA 98663 2020-03-04
1598247207 Kristine Marie Mcginley Acupuncturist 100 East 33rd St., Ste 203a, Vancouver, WA 98663 2018-08-30
1932689460 Jennifer Fowler Behavioral Analyst 1901 Broadway St Apt 103, Vancouver, WA 98663 2018-08-15
1083109755 Kallie A Wikman Physical Therapist 100 E 33rd St Ste 204, Vancouver, WA 98663 2018-06-26
1407344872 Kyle Besaw Student in an Organized Health Care Education/Training Program 300 E 33rd St Ste 100, Vancouver, WA 98663 2018-05-01
1023521747 Focal Clinic Inc Counselor 3305 Main St Ste 205, Vancouver, WA 98663 2017-11-16
1215455365 Thirty Three Oaks, LLC Skilled Nursing Facility 400 E. 33rd St., Vancouver, WA 98663 2017-09-08
1174047690 Douglas Gangat Uy Counselor 1610 C Street, Suite 102, Vancouver, WA 98663 2017-07-26
1699206243 Maggie May Mcgraw Social Worker 410 E 20th Street, Vancouver, WA 98663 2017-03-24
1356740328 Joseph Kelly Dentist 1008 Nw 59th St., Vancouver, WA 98663 2014-08-15
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538635420 Amy Yvonne Galindo-ortega Specialist 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 2018-10-17
1780150904 Lita Fogle Specialist 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 2018-10-15
1669994166 Maya Mersal Specialist 316 Se 123rd Ave Ste A67, Vancouver, WA 98683-4056 2017-07-17
1043769334 Blue Pearl Vancouver Specialist 6607 Ne 84th St, Suite 109, Vancouver, WA 98665-2018 2016-09-27
1194129742 Gail A Lordi Specialist 4013 Ne 158th Ave, Vancouver, WA 98682-7477 2014-10-10
1922429844 Reynard Carrie Jr. Specialist 5305 Ne 121st Ave Unit 114, Vancouver, WA 98682-6246 2013-12-18
1891125316 Allergy & Asthma Centers of The Nw Specialist 8614 E Mill Plain Blvd Ste 300, Vancouver, WA 98664-2058 2013-11-19
1518225176 Crystal Lee Hartshorn Specialist 1004 Ne Minnehaha St, Vancouver, WA 98665-8728 2012-05-01
1740564038 Candace Nicoloe Cashmore Specialist 109 Se 101st, Vancouver, WA 98663 2011-10-05
1790087211 Sandra Jean Bepler Specialist 2707 Ne 114th Ave, Suite C, Vancouver, WA 98684-4293 2010-12-04
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Competitor

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City VANCOUVER
Zip Code 98663

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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