Grande Ronde Psychiatric Services, Pc | |
435 W Bell St Ste. B-1 Sequim WA 98382-2916 | |
(360) 477-3298 | |
(360) 452-9584 |
Full Name | Grande Ronde Psychiatric Services, Pc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 435 W Bell St, Sequim, Washington |
Authorized Official Name and Position | Terry Allen Trudel (PRESIDENT) |
Authorized Official Contact | 3604773298 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grande Ronde Psychiatric Services, Pc 1994 S Bagley Creek Rd Port Angeles WA 98362-7454 Ph: (360) 477-3298 | Grande Ronde Psychiatric Services, Pc 435 W Bell St Ste. B-1 Sequim WA 98382-2916 Ph: (360) 477-3298 |
NPI Number | 1306183801 |
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Provider Enumeration Date | 01/04/2013 |
Last Update Date | 01/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306183801 | NPI | - | NPPES |
0265930 | Other | WA | LABOR AND INDUSTRIES |
113092 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD60053143 (Washington) | Primary |
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