Individual
BRANDI JO BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10004 204TH AVE E FL 3, BONNEY LAKE, WA 98391-6539
(253) 848-5951
Mailing address
2904 4TH AVE NE, PUYALLUP, WA 98372-7053
(253) 848-5951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61187255
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136024
—
WA
Enumeration date
05/30/2019
Last updated
01/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us