Physician Assistant, Medical
JEFFERSON BOULET PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740274745 · enumerated 2005-09-06 · record updated 2023-03-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 1268, BUCKLEY, WA, 98321-1268 (360) 829-0625 Fax (360) 829-9860 Google Maps Apple Maps OpenStreetMap
- Practice location 305 N RIVER AVE, BUCKLEY, WA, 98321-8978 (360) 829-0625 Fax (360) 829-9860 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License PA10003567 WA
In this directory
Locations and evidence
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Practice location
BUCKLEY, WA, 983218978
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.