Mountainside Psychiatric Services
Mountainside Psychiatric Services is a Preferred Provider Organization in Lakewood, Washington. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
10209 Bridgeport Way SW Ste D 10Lakewood, WA 98499-2320
Phone: (253) 460-9414
Fax: (253) 460-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|
Record details
| NPI number | 1518979434 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathleen Potter — Owner/Operator · (253) 460-9414 |
| NPI enumerated | August 12, 2006 |
| Last updated in NPPES | August 25, 2008 |
| Mailing address | 10209 Bridgeport Way Sw, Suite D 10, Lakewood, WA 98499-2326 |