Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERSON L BOULET, PAC
ActiveJEFFERSON L BOULET, PAC is a Medical Physician Assistant healthcare provider located in BUCKLEY, Washington. NPI 1740274745 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BUCKLEY, WA
Registration Details
- NPI Number
- 1740274745
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2005 (20.899451218063 yrs)
- Last Updated
- Mar 7, 2023
- License
-
PA10003567 (WA)
Practice Information
- Address
-
305 N RIVER AVEBUCKLEY, WA, 983218978Browse WA providers · Browse ZIP 98321
- Phone
- 3608290625
- Fax
- 3608299860
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.