Olympic Psychiatric Care Ps | |
502 S Still Rd Suite 102 Sequim WA 98382-3577 | |
(360) 683-2344 | |
(360) 504-3666 |
Full Name | Olympic Psychiatric Care Ps |
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Speciality | Clinic/Center |
Location | 502 S Still Rd, Sequim, Washington |
Authorized Official Name and Position | Becky Louise Godby (PRESIDENT) |
Authorized Official Contact | 3606832344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Olympic Psychiatric Care Ps 502 S Still Rd Suite 102 Sequim WA 98382-3577 Ph: (360) 683-2344 | Olympic Psychiatric Care Ps 502 S Still Rd Suite 102 Sequim WA 98382-3577 Ph: (360) 683-2344 |
NPI Number | 1134574569 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 05/04/2016 |
Medicare PECOS PAC ID | 4486953825 |
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Medicare Enrollment ID | O20160505002262 |
Identifier | Type | State | Issuer |
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1134574569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP60528556 (Washington) | Primary |
Provider Name | Becky L Godby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528045085 PECOS PAC ID: 0042342651 Enrollment ID: I20150520000213 |
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