DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARC ANTHONY BOUCHARD, DO

Active Sole Proprietor

DR. MARC ANTHONY BOUCHARD, DO is a Psychiatry healthcare provider located in LONGVIEW, Washington. NPI 1750677605 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · LONGVIEW, WA

Registration Details

NPI Number
1750677605
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2011 (15.114173419157 yrs)
Last Updated
May 29, 2024
Licenses
0102203346 (VA)
OP60942131 (WA)
Sole Proprietor
Yes

Practice Information

Address
1615 DELAWARE ST
LONGVIEW, WA, 986322367
Browse WA providers · Browse ZIP 98632
Phone
3606364836
Fax
3606366792
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in LONGVIEW, WA

Name Credential NPI
ROBERT C AXELROD MD 1285628099
DR. JONATHAN JAMES EBBING M.D. 1952416380
CESAR PILAR RAFANO MD 1841342284
DR. JERAD RAY SHOEMAKER 1811150873
MS. REBECCA ANN HOPKINSON M.D. 1831323823
DR. LANCE MICHAEL SCOTT AMOLS M.D. 1780978304
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.