NPI 1841534252

Southwest Washington Behavioral Health Regional Support Network

Organisation Exclusive Provider Organization Vancouver, WA

Practice location

Address: 1601 E Fourth Plain Blvd Bldg. 17, Suite C214, Vancouver, WA 98661-3753
Phone: (360) 397-8222
Fax: (360) 397-6128
Mailing address: PO Box 664, Vancouver, WA 98666-0664

Authorised official

Name: Connie Mom-Chhing
Title: Chief Executive Officer
Phone: (360) 397-8222

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Washington →

Registry record

NPI: 1841534252
Entity type: Organization
NPI issued: 26 Nov 2012
Record last updated: 26 Nov 2012

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.