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Search › Washington › Medical Physician Assistant

Jefferson Boulet, PAC

NPI 1740274745 · on the registry since 2005

Practice

Address
305 N River Ave
Buckley, WA 98321
Phone
(360) 829-0625
Fax
(360) 829-9860
Organisation at this address
White River Family Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07
Status
Not present in the most recent federal file

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