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Brandi Jo Boden, DO
Student in an Organized Health Care Education/Training Program in Renton, Washington
NPI 1023676541

Brandi Jo Boden is a Student in an Organized Health Care Education/Training Program based in Renton, WA. Brandi Jo Boden practices in Renton, WA and has the professional credentials of DO. The NPI Number for Brandi Jo Boden is 1023676541 and holds a License No. (Washington).

The current practice location address for Brandi Jo Boden is 3915 Talbot Rd S Ste 401, Renton, WA and can be reached out via phone at 425-690-3445 and via fax at 425-690-9445.

Location: 3915 Talbot Rd S Ste 401, Renton, WA, 98057-4970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023676541
Provider Name
Brandi Jo Boden
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3915 Talbot Rd S Ste 401, Renton, WA, 98057-4970
Phone Number
425-690-3445
Fax Number
425-690-9445
Provider Enumeration Date
05/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2136024 05 WA
institution
Provider Business Practice Location Address Details
Address
3915 Talbot Rd S Ste 401
City
Renton
State
Washington
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider Business Mailing Address Details
Address
3915 Talbot Rd S Ste 401
City
Renton
State
Washington
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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