Otis EDD Payne, MD, Ps
Otis EDD Payne, MD, Ps is a Psychiatry Physician in Lake Forest Park, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
18015 53rd Ave NELake Forest Park, WA 98155-4361
Phone: (206) 427-2171
Fax: (425) 670-8293
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence MD00010587 (WA) |
|---|
Record details
| NPI number | 1073705166 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Otis Payne — President · (206) 427-2171 |
| NPI enumerated | August 13, 2007 |
| Last updated in NPPES | August 13, 2007 |
| Mailing address | 18015 53rd Ave Ne, Lake Forest Park, WA 98155-4361 |