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Individual

KAREN BOUDOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
319 5TH ST SW, PUYALLUP, WA 98371-5828
(253) 848-0351
(253) 841-1397
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00126895
WA
363L00000X
Nurse Practitioner
AP30005382
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30005382
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9643206
WA
Enumeration date
06/21/2005
Last updated
01/20/2026
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