Individual
PAUL BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21200 OLHAVA WAY NW, POULSBO, WA 98370-9457
(618) 698-2018
Mailing address
21200 OLHAVA WAY NW, POULSBO, WA 98370-9457
(618) 698-2018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60518146
WA
156FX1800X
Optician
—
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2010
Last updated
11/10/2015
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