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1300 Ne Goldie St Oak Harbor WA 98277-4832 | |
| (360) 679-5590 | |
| (360) 675-1440 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1300 Ne Goldie St, Oak Harbor, Washington |
| Authorized Official Name and Position | Garth A Miller (COO) |
| Authorized Official Contact | 3606787656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 24789 Seattle WA 98124-0789 Ph: (360) 678-7656 | 1300 Ne Goldie St Oak Harbor WA 98277-4832 Ph: (360) 679-5590 |
| NPI Number | 1821632639 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821632639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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