Mrs Melinda Gayle Boonstra, | |
4308 76th St Ne, Marysville, WA 98270-3720 | |
(425) 349-7352 | |
Not Available |
Full Name | Mrs Melinda Gayle Boonstra |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4308 76th St Ne, Marysville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740530724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW61279465 (Washington) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
Entity Name | Peacehealth Medical Group - Sedro Woolley |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407283179 PECOS PAC ID: 1456584036 Enrollment ID: O20140506001293 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melinda Gayle Boonstra, Po Box 3810, Everett, WA 98213 Ph: (425) 349-8359 | Mrs Melinda Gayle Boonstra, 4308 76th St Ne, Marysville, WA 98270-3720 Ph: (425) 349-7352 |
Kristol Parker, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5831 106th Pl Ne, Marysville, WA 98270 Phone: 206-388-9400 | |
Kristina D Coyle, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5019 Grove St, Suite 102, Marysville, WA 98270 Phone: 425-344-9722 | |
Justine V Sanders, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5019 Grove St Ste 102, Marysville, WA 98270 Phone: 425-299-3570 | |
Jordan Claire Long, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 Grove St, Marysville, WA 98270 Phone: 425-405-2216 | |
Diane J Mcrae, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1922 | |
Madison Catherine Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8444 63rd St Ne, Marysville, WA 98270 Phone: 812-622-0494 |