Organization Name: | METAMORPHE HEALTH CLINIC |
NPI Number: | 1477907756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN SMITH (PRESIDENT) |
Mailing Address: | 3976 E. Harbor Road Langley |
State: | WA US |
Postal Code: | 98260 |
Phone Number: | 3602212050 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2016 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | NT60613575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |