Search › Washington › 225100000X
Mark Bouma, DPT
NPI 1659381069 · on the registry since 2006
Practice
- Address
- 7650 Se 27th St
Suite 112
Mercer Island, WA 98040 - Phone
- (206) 230-8320
- Fax
- (206) 230-8315
- Organisation at this address
- Bcld Llc
Liberty Dialysis - Tulsa Llc
Liberty Dialysis - Denver Llc
Liberty Dialysis - Denver Llc
Liberty Dialysis - Denver LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 68 Willow Rd, Menlo Park, CA
- 13315 68th Pl Ne, Kirkland, WA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington