| NPI | 1700690385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNA BANG Pmhnp, Representative 206-666-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-22 |