Puget Sound Psychiatric Services
Psychiatry & Neurology, Psychiatry in Bothell, WA. Organization (NPI-2).
NPI number1902097009
StatusActive
Last updated in NPPESJul 1, 2008
Details
- NPI
- 1902097009
- Entity type
- Organization (NPI-2)
- Legal business name
- Puget Sound Psychiatric Services
- Organization subpart
- No
- Enumeration date
- Aug 5, 2007
- Last updated
- Jul 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
10634 E Riverside DrSuite 130
Bothell, WA 98011-3757
Phone 425-806-5021
Mailing address
10634 E Riverside DrSuite 130
Bothell, WA 98011-3757
Phone 425-806-5021
Authorized official
Rebecca Lyn Peterson
Business Manager
4258022861
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