Healthcare Provider Details

I. General information

NPI: 1841537230
Provider Name (Legal Business Name): JOCELYN ENGLER PHARMD, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOCELYN BOOSE

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 SOUTHCENTER BLVD
TUKWILA WA
98188-2547
US

IV. Provider business mailing address

6400 SOUTHCENTER BLVD
TUKWILA WA
98188-2547
US

V. Phone/Fax

Practice location:
  • Phone: 206-901-2000
  • Fax: 206-901-2010
Mailing address:
  • Phone: 206-901-2000
  • Fax: 206-901-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60711271
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA60711271
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: