Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portercare Adventist Health System

Organization Family Medicine Physician · NPI 1962726927

Portercare Adventist Health System provides Family Medicine Physician services in Boulder, Colorado. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

805 S Broadway St Ste 103
Boulder, CO 80305-5971 Not confirmed with CMS for 10 years — call before visiting
Phone: (303) 269-2560
Fax: (303) 494-1841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1962726927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Skinner — Oma Administrator · (303) 673-7175
Other names Boulder Holistic Medical Center
NPI enumeratedMarch 19, 2010
Last updated in NPPESApril 20, 2016
Mailing addressPo Box 911244, Denver, CO 80291-1244

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