Individual
DR. REBECCA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 966-1481
Mailing address
2-2 EBH 10TH ST, JOINT BASE LEWIS MCCHORD, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101236337
VA
2084P0800X
Psychiatry Physician
Primary
MD604866577
WA
Other
Enumeration date
02/15/2007
Last updated
03/02/2020
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