Individual
GINGER BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21800 MARKET PL NW STE 103, POULSBO, WA 98370-6667
(360) 291-5700
Mailing address
21800 MARKET PL NW STE 103, POULSBO, WA 98370-6667
(360) 291-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004612
WA
Other
Enumeration date
07/10/2006
Last updated
08/18/2023
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