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

Dr. Mark Daniel Bouchard, MD

Individual provider Pediatrics Physician · NPI 1316392517

Dr. Mark Daniel Bouchard, MD is a Pediatrics Physician in Issaquah, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

751 NE Blakely Dr Ste 5010
Issaquah, WA 98029-6201
Phone: (425) 394-0700
Fax: (425) 394-0757
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD61046264 (WA)

Record details

NPI number1316392517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2016
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022
Mailing addressPo Box 25608, Salt Lake City, UT 84125-0608

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