NPI 1194296061

Nicole Boerema, AA

Practitioner Anesthesiologist Assistant Portland, OR

Practice location

Address: 707 SW Washington St STE 700, Portland, OR 97205-3523
Phone: (503) 299-9906
Fax: (503) 225-9002
Mailing address: PO Box 35147 #1801, Seattle, WA 98124-5147

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA70081093 (WA)

Other Anesthesiologist Assistant providers in Oregon →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

Registry record

NPI: 1194296061
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2018
Record last updated: 16 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.