Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Boucher

Organization Registered Dietitian · NPI 1942697198

Jordan Boucher is a Registered Dietitian in Port Orchard, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015

Practice location Address checks out

3333 SE Horstman Rd
Port Orchard, WA 98366-4054
Phone: (713) 689-9673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI 60543717 (WA)

Record details

NPI number1942697198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Boucher — Registered Dietitian · (713) 689-9673
Other names Lively Greens
NPI enumeratedApril 24, 2015
Last updated in NPPESApril 24, 2015
Mailing address3333 Se Horstman Rd, Port Orchard, WA 98366-4054

Other providers in Port Orchard