Whalio Doctors

NPI 1629142591

Patricia Ann Boullie, CNM

Practitioner Advanced Practice Midwife Astoria, OR

Practice location

Address
550 22nd St, Astoria, OR 97103-3312
Phone
(503) 338-7595
Fax
(503) 325-4905
Mailing address
35242 Kee Ln, Astoria, OR 97103-8314

Registered specialties

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 096007245ZN5 (OR)

Registry record

NPI
1629142591
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Nov 2006
Record last updated
7 Mar 2023

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.