Mark Daniel Bouchard, MD
Pediatrics Physician · Issaquah, WA
Practice location
751 NE Blakely Dr Ste 5010Issaquah, WA 98029-6201
- Phone
- (425) 394-0700
- Fax
- (425) 394-0757
NPI record
- NPI
- 1316392517
- Entity type
- Individual (Type 1)
- Enumeration date
- April 26, 2016
- Last updated
- January 17, 2022
- Certified
- January 17, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
MD61046264 | WA |
Mailing address
PO Box 25608Salt Lake City, UT 84125-0608
- Phone
- (206) 320-4476
- Fax
- (206) 568-7043
About Dr. Bouchard
Mark Daniel Bouchard, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 751 NE Blakely Dr Ste 5010, Issaquah, WA 98029-6201. The NPI number 1316392517 was assigned on April 26, 2016 and the record was last updated on January 17, 2022.
Dr. Bouchard lists a license in the registry: #MD61046264 (WA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Daniel Bouchard, MD?
The NPI number is 1316392517.
What is the phone number of Dr. Bouchard?
The phone number listed for the practice location is (425) 394-0700.
Where is Dr. Bouchard located?
751 NE Blakely Dr Ste 5010, Issaquah, WA 98029-6201.
What is the taxonomy code for Dr. Bouchard?
The primary taxonomy code is 208000000X – Pediatrics Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Troy Yi, MD6520 226TH Pl SE Ste 100
- Tracie O'Neill, MD1011 NE High Street
- Tiffany Lynne Herr, MD751 NE Blakely Dr Ste 5010
- Sung Eun Park, MD1505 NW Gilman Blvd Ste 8
- Derrick Soong100 NE Gilman Blvd
- David Ege, MD450 NW Gilman Blvd Ste 201
- Lighthouse Pediatric Medicine PLLC1505 NW Gilman Blvd Ste 8
- Jeffrey Landesberg, MD1011 NE High Street
- Christen B. Oskouian, M.D.6520 226TH Pl SE Ste 100
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