Individual provider · Type 1 NPI

Brian Forrest Boundy, PA

Surgical Physician Assistant · Vancouver, WA

NPI number 1295325892 Active

Practice location

200 NE Mother Joseph Pl Ste 110
Vancouver, WA 98664-3293

Call (360) 254-6161 Map

Fax (360) 449-1146

Mailing address

200 NE Mother Joseph Pl Ste 210
Vancouver, WA 98664-3295

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA61128876 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1295325892

Brian Forrest Boundy, PA's National Provider Identifier is 1295325892, issued on Jan 19, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vancouver, WA. The record was last updated on Oct 29, 2021.