Individual
MS. KIMBERLY BOESE DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, PA-C
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201
(425) 261-2000
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60133640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007500
—
WA
Enumeration date
03/08/2010
Last updated
10/07/2020
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