Organization Name: | PACIFIC NORTHWEST PSYCHIATRY, PS |
NPI Number: | 1992072466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MICHAEL HARLE (PRESIDENT) |
Mailing Address: | 1616 Cornwall Ave Suite 103 Bellingham |
State: | WA US |
Postal Code: | 982254648 |
Phone Number: | 3603053275 |
Fax Number: | 3606555340 |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CL60205887 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |