OLYMPIC PSYCHIATRIC ASSOC.P.S. NPI 1104947142

NPI Information

NPI: 1104947142
Provider Name: OLYMPIC PSYCHIATRIC ASSOC.,P.S.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
819 GEORGIANA ST
SUITE A
PORT ANGELES, WA
ZIP 98362
Phone: (360) 452-8991
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OLYMPIC PSYCHIATRIC ASSOC.,P.S. is a mental health (including community mental health center) clinic center in Port Angeles, WA. OLYMPIC PSYCHIATRIC ASSOC.,P.S. NPI is 1104947142. The provider is registered as an organization entity type.

The provider's business location address is:

819 GEORGIANA ST
SUITE A
PORT ANGELES, WA
ZIP 98362-511
Phone: (360) 452-8991
Fax: (360) 452-8993

The provider's authorized official is Norman Frederic Peterson .
The authorized official title is President and has the following contact phone number (360) 452-8991.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 5/5/2024

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