# ALPENGLOW PSYCHIATRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417740077
- **Authorized official:** DR. DEVRAUX R BOSHARD DO (PRESIDENT)
- **Authorized official phone:** (503) 926-9460

## Contact information

- **Practice address:** 917 SW OAK ST STE 303, PORTLAND, OR 97205-2806
- **Practice address phone:** (503) 926-9460
- **Practice address fax:** (971) 350-1563
- **Mailing address:** 5441 S MACADAM AVE \# 4717, PORTLAND, OR 97239-6106
- **Mailing address phone:** (503) 926-9460
- **Mailing address fax:** (971) 350-1563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2025
- **Last updated:** 09/30/2026
