| Che Behavioral Health Services Of Washington, P.c. | |
|
1455 Nw Leary Way Ste 400 Seattle WA 98107-5138 | |
| (888) 515-3834 | |
| Not Available |
| Full Name | Che Behavioral Health Services Of Washington, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1455 Nw Leary Way Ste 400, Seattle, Washington |
| Authorized Official Name and Position | Scott Gordon (OWNER) |
| Authorized Official Contact | 8885153834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Che Behavioral Health Services Of Washington, P.c. Po Box 67085 Newark NJ 07101-8083 Ph: (888) 515-3834 | Che Behavioral Health Services Of Washington, P.c. 1455 Nw Leary Way Ste 400 Seattle WA 98107-5138 Ph: (888) 515-3834 |
| NPI Number | 1326702770 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 2668861675 |
|---|---|
| Medicare Enrollment ID | O20211215002901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326702770 | NPI | - | NPPES |
| Provider Name | Scott Moore Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20211222000933 |
| Provider Name | Olubukola Yoade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396328308 PECOS PAC ID: 5193119097 Enrollment ID: I20231114003214 |
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