Individual
PHILLIP BOUNKEUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3909 9TH AVE SW, OLYMPIA, WA 98502-5134
(360) 570-3462
(360) 339-7266
Mailing address
13735B CORLLISS AVE N, SEATTLE, WA 98133-7260
(206) 724-2512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61615168
WA
Other
Enumeration date
07/01/2022
Last updated
11/13/2025
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