Individual
KAREN M BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1220 22ND ST,, STE A, ANACORTES, WA 98221
(360) 588-9343
Mailing address
1220 22ND ST,, STE A, ANACORTES, WA 98221
(360) 588-9343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00035462
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195367
LABOR AND INDUSTRIES
WA
05
—
8219933
—
WA
01
—
8597BO
REGENCE BLUE SHIELD
WA
Enumeration date
06/19/2006
Last updated
07/08/2007
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