NPI 1053769844

Puget Sound Senior Psychology, LLC

Organisation Adult Care Home Facility Vancouver, WA

Practice location

Address: 9340 NE 76th St, Vancouver, WA 98662-3721
Phone: (360) 253-4912
Fax: (360) 253-5170

Authorised official

Name: David Agnor
Title: Executive Director
Phone: (360) 253-4912

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence PY1511 (WA)

Other Custodial Care Facility providers in Washington →

Registry record

NPI: 1053769844
Entity type: Organization
NPI issued: 2 Jun 2016
Record last updated: 2 Jun 2016

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.