| West End Outreach Services | |
|
530 Bogachiel Way Forks WA 98331-9120 | |
| (360) 374-5011 | |
| Not Available |
| Full Name | West End Outreach Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 530 Bogachiel Way, Forks, Washington |
| Authorized Official Name and Position | Tim Coumyer (CEO) |
| Authorized Official Contact | 3603746271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West End Outreach Services 530 Bogachiel Way Forks WA 98331 Ph: (360) 374-6271 | West End Outreach Services 530 Bogachiel Way Forks WA 98331-9120 Ph: (360) 374-5011 |
| NPI Number | 1790869592 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790869592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 069 (Washington) | Secondary |
| 251S00000X | Community/behavioral Health | (Washington) | Primary |
Felicia Mueller Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 N Spartan Ave, Suite B, Forks, WA 98331 Phone: 360-374-6060 |