# NORTHFORM PSYCHIATRY, PLLC

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

## Provider details

- **NPI number:** 1427966209
- **Authorized official:** MITCHELL CORBET ARNP, PMHNP-BC (SOLE MEMBER)
- **Authorized official phone:** (503) 310-6328

## Contact information

- **Practice address:** 140 S ARTHUR ST STE 415, SPOKANE, WA 99202-2220
- **Practice address phone:** (509) 400-4895
- **Practice address fax:** (509) 223-7534
- **Mailing address:** PO BOX 62, MEDICAL LAKE, WA 99022-0062
- **Mailing address phone:** (509) 400-4895
- **Mailing address fax:** (509) 223-7534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2026
- **Last updated:** 09/30/2026
