MEDICARE: SARA BOELMAN MS, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist
2	106H00000X	Marriage & Family Therapist	LF 60566351	WA

General Provider Information

NPI Number	:	1427375393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BOELMAN MS, LMFT

Provider Business Mailing Address
First Line	:	5224 OLYMPIC DR STE 214
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1792
Country	:	US
Telephone Number	:	253-319-3395
Fax Number	:	253-218-6765

Provider Business Practice Location Address
First Line	:	5224 OLYMPIC DR STE 214
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1792
Country	:	US
Telephone Number	:	253-319-3395
Fax Number	:	253-218-6765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2010
Last Update Date	:	03/16/2023

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