| Robert K. Burlingame, M.d., P.c. | |
|
100 E 13th St Suite 101 Vancouver WA 98660-3326 | |
| (360) 256-3686 | |
| (360) 694-4681 |
| Full Name | Robert K. Burlingame, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 E 13th St, Vancouver, Washington |
| Authorized Official Name and Position | Robert Kelley Burlingame (PRESIDENT/OWNER) |
| Authorized Official Contact | 3602563686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert K. Burlingame, M.d., P.c. Po Box 2129 Vancouver WA 98668-2129 Ph: (360) 256-3686 | Robert K. Burlingame, M.d., P.c. 100 E 13th St Suite 101 Vancouver WA 98660-3326 Ph: (360) 256-3686 |
| NPI Number | 1073900403 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Medicare PECOS PAC ID | 5799005617 |
|---|---|
| Medicare Enrollment ID | O20150518000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073900403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 00027023 (Washington) | Primary |
| Provider Name | Robert K Burlingame |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922108984 PECOS PAC ID: 3375503972 Enrollment ID: I20041018001042 |
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