Individual
GEOFFREY KEITH BOERCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 LARRABEE AVE, #104-PMB 317, BELLINGHAM, WA 98225-7367
(360) 220-1744
Mailing address
925 BASS ST, BELLINGHAM, WA 98229-8836
(360) 220-1744
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
MD00026779
WA
2084P0800X
Psychiatry Physician
Primary
MD00026779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116494
LABOR AND INDUSTRIES
WA
05
—
1102243
—
WA
Enumeration date
04/12/2012
Last updated
11/09/2015
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