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

Bose Amosun

Individual provider Physician Assistant · NPI 1962283622

Bose Amosun is a Physician Assistant in Puyallup, Washington. Qualified in 2023, 3 years ago. Practices with Puget Sound Gastroenterology PLLC, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023

Practice location Address checks out

611 31st Ave SW
Puyallup, WA 98373-3723
Phone: (253) 848-5951
Show map & directions

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

Additional practice locations (1)

  • 21600 Highway 99 Ste 260, Edmonds, WA 98026-8049 — (425) 774-2650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.PA.61492017 (WA)

Record details

NPI number1962283622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address2904 4th Ave Ne, Puyallup, WA 98372-7053

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Puget Sound Gastroenterology Pllc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Puyallup