NPI 1760086300

Clearwater Neurosciences PLLC

Organisation Psychiatry Physician Lewiston, ID

Practice location

Address: 3326 4th St STE 6, Lewiston, ID 83501-4455
Phone: (208) 746-2223
Fax: (208) 746-2226

Authorised official

Name: Gail Richardson
Title: Office Manager
Phone: (208) 746-2223

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1760086300
Entity type: Organization
NPI issued: 24 Nov 2020
Record last updated: 24 Nov 2020

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.