Puget Mental Care Llc

NPI 1215334982 - Clinic/Center - 261QM0801X

NPI Details
NPI 1215334982
Enumeration Date 11/24/2014
Last Updated 11/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ROBERT ROBERT
Position PSYCHIATRIC NURSE PRACTITIONER
Phone (253) 503-6761
Fax
Practice Location
4009 BRIDGEPORT WAY W # 1A
UNIVERSITY PLACE WA, 98466-4326, US
Phone (253) 503-6761
Fax
Business Location
4009 BRIDGEPORT WAY W # 1A
UNIVERSITY PLACE WA, 98466-4326, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Washington
License Number AP60411730
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According to our database, Puget Mental Care Llc NPI is 1215334982, taxonomy code is 261QM0801X and license number is AP60411730, license state is located at Washington. Puget Mental Care Llc physically located at 4009 Bridgeport Way W # 1a, University Place WA, 98466-4326. NPI Number 1033115704 has the healthcare provider type.

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1215334982 NPI number is provided on an as is basis without warranty of any kind. 1215334982 is maintained by the National Plan & Provider Enumeration System. The contents of Puget Mental Care Llc are for informational purposes only.