David G Rasmussen Psyd Ps | |
16030 Bothell Everett Hwy Suite 295 Mill Creek WA 98012-1741 | |
(425) 337-7133 | |
Not Available |
Full Name | David G Rasmussen Psyd Ps |
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Speciality | Community/Behavioral Health |
Location | 16030 Bothell Everett Hwy, Mill Creek, Washington |
Authorized Official Name and Position | David Grant Rasmussen (PSYCHOLOGIST) |
Authorized Official Contact | 4253377133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David G Rasmussen Psyd Ps 16030 Bothell Everett Hwy Suite 295 Mill Creek WA 98012-1741 Ph: (425) 337-7133 | David G Rasmussen Psyd Ps 16030 Bothell Everett Hwy Suite 295 Mill Creek WA 98012-1741 Ph: (425) 337-7133 |
NPI Number | 1568736288 |
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Provider Enumeration Date | 02/27/2012 |
Last Update Date | 04/17/2012 |
Medicare PECOS PAC ID | 7517129463 |
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Medicare Enrollment ID | O20120510000338 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568736288 | NPI | - | NPPES |
70281175 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | UBI ID 601677869 (Washington) | Primary |
Provider Name | David G Rasmussen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699830364 PECOS PAC ID: 3072775931 Enrollment ID: I20120510000454 |
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