| Fmg-franciscan Behavioral Medicine | |
|
11311 Bridgeport Way Sw Ste 307 Lakewood WA 98499-3071 | |
| (253) 779-6215 | |
| (253) 779-6191 |
| Full Name | Fmg-franciscan Behavioral Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11311 Bridgeport Way Sw, Lakewood, Washington |
| Authorized Official Name and Position | Dean Field (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2538589192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmg-franciscan Behavioral Medicine 11311 Bridgeport Way Sw Ste 307 Lakewood WA 98499-3071 Ph: (253) 779-6215 | Fmg-franciscan Behavioral Medicine 11311 Bridgeport Way Sw Ste 307 Lakewood WA 98499-3071 Ph: (253) 779-6215 |
| NPI Number | 1366686198 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366686198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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