| Organization Name: | OLYMPIC PSYCHIATRIC ASSOC.,P.S. |
| NPI Number: | 1104947142 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMAN FREDERIC PETERSON (PRESIDENT) |
| Mailing Address: | 819 Georgiana St Suite A Port Angeles |
| State: | WA US |
| Postal Code: | 983623511 |
| Phone Number: | 3604528991 |
| Fax Number: | 3604528993 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |