Individual
CHRISTOPHER R BOEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060
Mailing address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10004154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035405
—
WA
01
—
179344
DEPT OF L&I PIN
WA
01
—
8160BO
REGENCE PIN
WA
01
—
8930049
CRIME VICTIMS COMP PIN
WA
01
—
B003
TRICARE PIN
WA
Enumeration date
07/08/2006
Last updated
02/28/2025
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