IndividualActive
Christopher Boetker, HS
NPI 1619029485 · Other Technician · Washington, DC
Provider details
- NPI number
- 1619029485
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- HS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
US Coast Guard 2100 2nd St Sw
Suite 5314
Washington, DC 20593-0001
Phone: (510) 637-1198
Approximate (ZIP-level) locationGet directions
Mailing address
3718 Finnian Way
Dublin, CA 94568-7200
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.