Individual provider · Type 1 NPI
Jefferson L. Boulet, PAC
Medical Physician Assistant · Buckley, WA
NPI number
1740274745
Active
Practice location
305 N River Ave
Buckley, WA 98321-8978
Fax (360) 829-9860
Mailing address
PO Box 1268
Buckley, WA 98321-1268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10003567 (WA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1740274745
Jefferson L. Boulet, PAC's National Provider Identifier is 1740274745, issued on Sep 6, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Buckley, WA. The record was last updated on Mar 7, 2023.