Jason A Bohbot
Specialist in Lynnwood, WA. Individual provider (NPI-1).
NPI number1962636613
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1962636613
- Entity type
- Individual (NPI-1)
- Name
- Jason A Bohbot
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2009
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MA 00015302 | WA | Yes |
Practice location
4300 198th St SwLynnwood, WA 98036-6771
Phone 425-778-2325
Mailing address
370 Ne Camano DrSuite 5 # 283
Camano Island, WA 98282-7279
Phone 206-877-2937
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