Search › Washington › 101YM0800X
Elizabeth Boudreaux
NPI 1689142960 · on the registry since 2018
Practice
- Address
- 21300 68th Ave W Ste 105
Lynnwood, WA 98036 - Phone
- (425) 412-3155
- Fax
- (425) 249-3522
- Organisation at this address
- Squareone Services, Spc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-03
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