Lumiere LLC
Psychologist, Clinical in Vancouver, WA. Organization (NPI-2).
NPI number1124883160
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1124883160
- Entity type
- Organization (NPI-2)
- Legal business name
- Lumiere LLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2024
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Other names
- Luminous Healthcare (Doing Business As)
Practice location
9120 Ne Vancouver Mall Loop Ste 262Vancouver, WA 98662-6391
Phone 541-702-7400
Mailing address
6715 Ne 63rd St Ste 277Vancouver, WA 98661-1980
Phone 360-602-2620
Other practice locations
11905 Ne 40th Ave
Vancouver, WA 98686-3152
Vancouver, WA 98686-3152
Phone 360-602-2620 · Fax 360-553-1556
Authorized official
David Opollo Ross
Clinical Director
3606022620
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