Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN E BOUTERSE, M.D.
ActiveDR. SUSAN E BOUTERSE, M.D. is a Pediatrics healthcare provider located in GIG HARBOR, Washington. NPI 1710903547 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GIG HARBOR, WA
Registration Details
- NPI Number
- 1710903547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2006 (20.113073528932 yrs)
- Last Updated
- Dec 21, 2012
- License
-
MD00035719 (WA)
Practice Information
- Address
-
4700 POINT FOSDICK DR NW STE 319GIG HARBOR, WA, 983351706Browse WA providers · Browse ZIP 98335
- Phone
- 2538533888
- Fax
- 2538537393
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in GIG HARBOR, WA
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS M HERRON | M.D. | 1689690448 |
| JOHN DIMANT | MD | 1093801177 |
| GREGORY RURIK | MD | 1528154606 |
| IMKA LAVINDER | DO | 1578659678 |
| DR. LISA ANN HASHMAN | MD | 1619020070 |
| JENNIFER A LEE | DO | 1457652133 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.