Steven R. Conrad And Associates | |
1504 S 21st Pl Ridgefield WA 98642-8017 | |
(360) 727-6558 | |
Not Available |
Full Name | Steven R. Conrad And Associates |
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Speciality | Community/behavioral Health |
Location | 1504 S 21st Pl, Ridgefield, Washington |
Authorized Official Name and Position | Steven R. Conrad (PRESIDENT) |
Authorized Official Contact | 3607276558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Steven R. Conrad And Associates Po Box 251 Ridgefield WA 98642-0251 Ph: (360) 727-6558 | Steven R. Conrad And Associates 1504 S 21st Pl Ridgefield WA 98642-8017 Ph: (360) 727-6558 |
NPI Number | 1285011510 |
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Provider Enumeration Date | 05/06/2015 |
Last Update Date | 05/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285011510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | CL 60302224 (Washington) | Primary |
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