| Pan Pacific Health Pplc | |
|
10634 E Riverside Dr Bothell WA 98011-3757 | |
| (206) 484-7701 | |
| Not Available |
| Full Name | Pan Pacific Health Pplc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10634 E Riverside Dr, Bothell, Washington |
| Authorized Official Name and Position | Liisa Elina Durchman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2064847701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pan Pacific Health Pplc 509 3rd St Mukilteo WA 98275-1551 Ph: (206) 484-7701 | Pan Pacific Health Pplc 10634 E Riverside Dr Bothell WA 98011-3757 Ph: (206) 484-7701 |
| NPI Number | 1669938536 |
|---|---|
| Provider Enumeration Date | 02/15/2019 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669938536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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