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Organization
VIVA, PLLC
Active
Organization
VIVA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVA JANE TAPPER PHD, ARNP (PRESIDENT)
(360) 379-3500
Entity
Organization
Contact information
Practice address
281A LANE DECHANTAL, PORT TOWNSEND, WA 98368
(360) 379-3500
Mailing address
281A LANE DECHANTAL, PORT TOWNSEND, WA 98368
(360) 379-3500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
AP30004411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB34136
PTAN
WA
Enumeration date
06/18/2010
Last updated
06/18/2010
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