Individual
BRIAN FORREST BOUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 110, VANCOUVER, WA 98664-3293
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1146
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61128876
WA
Other
Enumeration date
01/19/2021
Last updated
10/29/2021
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