Individual
AMANDA E BOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 110, SEATTLE, WA 98122-5698
(206) 320-7300
(206) 320-4698
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10362
AZ
363A00000X
Physician Assistant
Primary
PA16207
TX
363A00000X
Physician Assistant
TA10005363
WA
Other
Enumeration date
02/12/2008
Last updated
08/08/2024
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