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Active NPI 1568674810 Individual Practitioner Female Practitioner

Susan Alaine Boulanger , LMP, NCTMB, NCMMT

Contractor • Everett, WA

Professional Overview & Biography Verified Profile Summary

Susan Boulanger, LMP, NCTMB, NCMMT is a registered healthcare professional specializing in Contractor in Everett, WA. Practice services are available at 7529 BEVERLY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7529 Beverly Blvd
Box 2

Everett, WA 982036770

Telephone 4253086093
Fax 4253223182

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Everett, WA (234 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License WA 15833

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Natasha Boulanger , LMP, LE

Community Health Worker

NPI 1619136280

Licensed Massage Practitioner, LE

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7529 BEVERLY BLVD, BOX 2, EVERETT, WA 982036770 (Tel: 4253086093)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7529 BEVERLY BLVD, BOX 2, EVERETT, WA 982036770 (Tel: 4253086093)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN BOULANGER, LMP, NCTMB, NCMMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Contractor (License #15833 in WA)

🟢
Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568674810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

7529 Beverly Blvd, Box 2

Everett, WA 982036770

Phone: 4253086093

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.