Individual
KIRSTEN J BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10516 SILVERDALE WAY NW STE 110D, SILVERDALE, WA 98383-8745
(877) 751-2446
(360) 307-7589
Mailing address
10516 SILVERDALE WAY NW STE 110D, SILVERDALE, WA 98383-8745
(877) 751-2446
(360) 307-7589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002930
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410797
—
WA
Enumeration date
02/06/2007
Last updated
03/18/2025
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