Boden, Brandi Jo
Boden, Brandi Jo is an individual health care provider with primary practice located at 10004 204Th Ave E Fl 3 , Bonney Lake WA 98391-6539. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boden, Brandi Jo can be contacted via phone (253) 848-5951.Contact Information
Primary practice address
10004 204Th Ave E Fl 3
Bonney Lake WA 98391-6539
Phone: (253) 848-5951
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP61187255 | Washington |
Profile Details
| NPI number | 1023676541 |
|---|---|
| LBN Legal business name | Boden, Brandi Jo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2019 |
| Last updated | Jan 12th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023676541 | NPPES |
| Washington | MEDICAID | 2136024 |
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