Individual
MARYSE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, W-7706, SEATTLE, WA 98105-0371
(206) 987-0104
(206) 987-3852
Mailing address
PO BOX 5371, 4800 SANDPOINT WAY NE, W-7706, SEATTLE, WA 98105-0371
(206) 987-0104
(206) 987-3852
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
60349185
WA
Other
Enumeration date
05/15/2013
Last updated
07/06/2014
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