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Organization
NORTHFORM PSYCHIATRY, PLLC
Active
Organization
NORTHFORM PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL CORBET ARNP, PMHNP-BC (SOLE MEMBER)
(503) 310-6328
Entity
Organization
Contact information
Practice address
140 S ARTHUR ST STE 415, SPOKANE, WA 99202-2220
(509) 400-4895
(509) 223-7534
Mailing address
PO BOX 62, MEDICAL LAKE, WA 99022-0062
(509) 400-4895
(509) 223-7534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/31/2026
Last updated
09/30/2026
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