| Viva, Pllc | |
|
281a Lane Dechantal Port Townsend WA 98368 | |
| (360) 379-3500 | |
| Not Available |
| Full Name | Viva, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 281a Lane Dechantal, Port Townsend, Washington |
| Authorized Official Name and Position | Viva Jane Tapper (PRESIDENT) |
| Authorized Official Contact | 3603793500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva, Pllc 281a Lane Dechantal Port Townsend WA 98368 Ph: (360) 379-3500 | Viva, Pllc 281a Lane Dechantal Port Townsend WA 98368 Ph: (360) 379-3500 |
| NPI Number | 1972824498 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972824498 | NPI | - | NPPES |
| AB34136 | Other | WA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP30004411 (Washington) | Primary |
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