Whalio Doctors

NPI 1003235706

Lauren Elizabeth Boudreaux, DO

Practitioner Dermatology Physician Vancouver, WA

Practice location

Address
2415 NE 134th St STE 107, Vancouver, WA 98686-3031
Phone
(360) 576-3340
Fax
(503) 362-8435
Mailing address
1793 13th St SE, Salem, OR 97302-2541

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence OP60565798 (WA)

Registry record

NPI
1003235706
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Apr 2014
Record last updated
10 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.