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Individual

JESS W BOUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1547
Mailing address
1717 S J ST STE 336, TACOMA, WA 98405-4933
(253) 426-4101
(253) 426-6936

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037799
WA
208M00000X
Hospitalist Physician
MD00037799
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001727
WA
Enumeration date
07/12/2006
Last updated
01/06/2026
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