Boundless Assistive Technology, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BOUNDLESS ASSISTIVE TECHNOLOGY, LLC

Practice address

7490 SW Bridgeport Rd
Portland, OR 97224

Phone

(503) 828-1221

Fax

(503) 821-6355

NPI assigned

Nov 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gabriel Trif

Title

Member

Phone

(503) 828-1221

Specialties & licenses 1

Addresses

Other names 1

• Boundless AT Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1740654466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 SW BRIDGEPORT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 SW BRIDGEPORT RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "503-828-1221",
            "fax_number": "503-821-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS ASSISTIVE TECHNOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "TRIF",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-828-1221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boundless AT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conor Boulger
• Tyler Dallin Boulter, MD
• Ann Bouma
• Lucas Benjamin Boumann
• Boundary Street SNF LLC
• Emily Rose Bounds
• Sandy Leiko Bounds, RPH
• Dennis Neil Bourdette, MD
• Jacqueline Bourdette, D.M.D.
• Ryan Bourdo, DPT

• Customized Equipment (DME) in Portland, OR
• Providers in Portland, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.