NPI 1023006061

Phd#2 of Snohomish County

Organisation Psychiatric Hospital Unit Edmonds, WA

Practice location

Address: 21601 76th Ave W, Edmonds, WA 98026-7507
Phone: (425) 640-4000
Fax: (425) 640-4432

Authorised official

Name: Gary Wangsmo
Title: Cfo
Phone: (425) 640-4113

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence H-138 (WA)

Other Psychiatric Unit providers in Washington →

Registry record

NPI: 1023006061
Entity type: Organization
NPI issued: 13 Oct 2005
Record last updated: 28 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.