PMO CARE PLLC NPI 1548426091

NPI Information

NPI: 1548426091
Provider Name: PMO CARE, PLLC

Doing Business As: INTEGRA HEALTH

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1215 120TH AVE NE
SUITE 201
BELLEVUE, WA
ZIP 98005
Phone: (425) 283-4200
Get Directions

PMO CARE, PLLC is an addiction medicine internal medicine in Bellevue, WA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. PMO CARE, PLLC NPI is 1548426091. The provider is registered as an organization entity type.
The provider Is Doing Business As Integra Health.

The provider's business location address is:

1215 120TH AVE NE
SUITE 201
BELLEVUE, WA
ZIP 98005
Phone: (425) 283-4200
Fax: (425) 679-5679

The provider's authorized official is Jill Franskousky .
The authorized official title is Ceo and has the following contact phone number (425) 283-4200.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 3/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health		602725791	WASHINGTON	No
2	261Q00000X	Clinic/Center				No
3	2084A0401X	Psychiatry & Neurology	Addiction Medicine			No
4	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry			No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
6	207Q00000X	Family Medicine		MD159813	OREGON	No
7	207QA0401X	Family Medicine	Addiction Medicine	MD0016837	WASHINGTON	No
8	207RA0401X	Internal Medicine	Addiction Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8879133	OTHER	WASHINGTON	PTAN
2	2047471	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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