Pan Pacific Health Pplc
Psychiatry & Neurology, Psychiatry in Bothell, WA. Organization (NPI-2).
NPI number1669938536
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1669938536
- Entity type
- Organization (NPI-2)
- Legal business name
- Pan Pacific Health Pplc
- Organization subpart
- No
- Enumeration date
- Feb 15, 2019
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Pan Pacific Health (Doing Business As)
Practice location
10634 E Riverside DrBothell, WA 98011-3757
Phone 206-484-7701
Mailing address
509 3rd StMukilteo, WA 98275-1551
Phone 206-484-7701
Authorized official
Liisa Elina Durchman
Executive Director
2064847701
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