Jordan Boucher
NPI #1942697198 in Port Orchard, Washington
Provider Information
- NPI Number
- 1942697198
- Entity Type
- Organization
- Organization Name
- Jordan Boucher
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 24, 2015
- Last Updated
- Apr 24, 2015
Practice Location
- Address
- 3333 SE HORSTMAN RD
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98366-4054
- Phone
- (713) 689-9673
Authorized Official
- Name
- JORDAN LYNN BOUCHER, RD
- Title
- REGISTERED DIETITIAN
- Phone
- (713) 689-9673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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