T Christopher Portman Phd Ps | |
1118 Finnegan Way Suite 104 Bellingham WA 98225-6622 | |
(360) 733-4502 | |
(360) 733-7594 |
Full Name | T Christopher Portman Phd Ps |
---|---|
Speciality | Psychologist |
Location | 1118 Finnegan Way, Bellingham, Washington |
Authorized Official Name and Position | Nicolle White (OFFICE MANAGER) |
Authorized Official Contact | 3607334502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
T Christopher Portman Phd Ps 1118 Finnegan Way Suite 104 Bellingham WA 98225-6622 Ph: (360) 733-4502 | T Christopher Portman Phd Ps 1118 Finnegan Way Suite 104 Bellingham WA 98225-6622 Ph: (360) 733-4502 |
NPI Number | 1982833448 |
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Provider Enumeration Date | 07/06/2009 |
Last Update Date | 07/06/2009 |
Medicare PECOS PAC ID | 7315099215 |
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Medicare Enrollment ID | O20090812000327 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982833448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY00001615 (Washington) | Primary |
Provider Name | Thomas Christopher Portman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063473353 PECOS PAC ID: 4789735762 Enrollment ID: I20090702000465 |
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