Jefferson L Boulet, PAC
Jefferson L Boulet, PAC is a Physician Assistant in Buckley, Washington. Qualified in 1997, 29 years ago. Practices with White River Family Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 29
- Licensed in
- WA
- In the registry since
- 2005
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
305 N River AveBuckley, WA 98321-8978
Phone: (360) 829-0625
Fax: (360) 829-9860
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA10003567 (WA) |
|---|
Record details
| NPI number | 1740274745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | September 6, 2005 |
| Last updated in NPPES | March 7, 2023 |
| Mailing address | Po Box 1268, Buckley, WA 98321-1268 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | White River Family Care Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |