| Diamond Edge Tms Inc | |
|
7700 Ne Parkway Dr Ste 210 Vancouver WA 98662-6653 | |
| (360) 838-3654 | |
| (360) 299-5451 |
| Full Name | Diamond Edge Tms Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7700 Ne Parkway Dr Ste 210, Vancouver, Washington |
| Authorized Official Name and Position | Jerald Joseph Block (PRESIDENT) |
| Authorized Official Contact | 5039390058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Edge Tms Inc 7700 Ne Parkway Dr Ste 210 Vancouver WA 98662-6653 Ph: (360) 838-3654 | Diamond Edge Tms Inc 7700 Ne Parkway Dr Ste 210 Vancouver WA 98662-6653 Ph: (360) 838-3654 |
| NPI Number | 1578393401 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 6800328220 |
|---|---|
| Medicare Enrollment ID | O20241010000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578393401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jerald Block |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598891319 PECOS PAC ID: 0446530141 Enrollment ID: I20230307002929 |
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