# OCTAVE BEHAVIORAL, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043064215
- **Authorized official:** KYM EVERETT (VP, REVENUE OPERATIONS)
- **Authorized official phone:** (650) 504-2289

## Contact information

- **Practice address:** 300 DESCHUTES WAY SW STE 208, TUMWATER, WA 98501-7719
- **Practice address phone:** (415) 360-3833
- **Practice address fax:** (628) 234-3048
- **Mailing address:** 625 MARKET ST FL 15T, SAN FRANCISCO, CA 94105-3302
- **Mailing address phone:** (415) 360-3833
- **Mailing address fax:** (628) 223-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 04/24/2025