NPI 1417265273

Jason Paul Gilbert, RTBS

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Tacoma, WA

Practice location

Address: 815 S Pearl St, Tacoma, WA 98465-2117
Phone: (253) 396-5930
Fax: (253) 566-2252
Mailing address: 1201 S Proctor St, Tacoma, WA 98405-2047

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence CG60133468 (WA)

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Registry record

NPI: 1417265273
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2010
Record last updated: 15 Sep 2010

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.