| NPI | 1184101073 |
|---|---|
| Doing Business As | PSYCHNS |
| Entity Type | Organization |
| Authorized Contact | LUKE BILLMEYER ROSEN Owner 360-828-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WA OP60447877) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60447877) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2022-09-30 |