| Theodore Mausshardt Inc | |
|
2722 Colby Ave #402 Everett WA 98201-3557 | |
| (425) 736-6075 | |
| (425) 252-4308 |
| Full Name | Theodore Mausshardt Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2722 Colby Ave, Everett, Washington |
| Authorized Official Name and Position | Theodore R Mausshardt (OWNER) |
| Authorized Official Contact | 4257366075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Mausshardt Inc 2722 Colby Ave #402 Everett WA 98201-3557 Ph: (425) 736-6075 | Theodore Mausshardt Inc 2722 Colby Ave #402 Everett WA 98201-3557 Ph: (425) 736-6075 |
| NPI Number | 1952792921 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952792921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | FC00000188 (Washington) | Primary |
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