Hannah Pham, | |
325 E Pioneer, Puyallup, WA 98372-3265 | |
(253) 697-8400 | |
(252) 697-3730 |
Full Name | Hannah Pham |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 325 E Pioneer, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194298679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | SC60323347 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Hannah Pham, 325 E Pioneer, Puyallup, WA 98372-3265 Ph: (253) 697-8400 | Hannah Pham, 325 E Pioneer, Puyallup, WA 98372-3265 Ph: (253) 697-8400 |
Rashaun A Renggli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Brittney A Craig, M.A. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Meridian Ste 202, Puyallup, WA 98371 Phone: 206-595-2470 | |
Laurel M Holden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Michael A Pinatiello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Melissa D Romans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Rainy D Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8452 Fax: 253-697-3730 | |
Rebecca Stoker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400 |