# PACIFIC NORTHWEST PSYCHIATRY, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sendan Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992072466
- **Authorized official:** DR. JAMES MICHAEL HARLE M.D. (PRESIDENT)
- **Authorized official phone:** (360) 305-3275

## Contact information

- **Practice address:** 1616 CORNWALL AVE, SUITE 103, BELLINGHAM, WA 98225-4648
- **Practice address phone:** (360) 305-3275
- **Practice address fax:** (360) 655-5340
- **Mailing address:** 4201 MERIDIAN ST STE 113, BELLINGHAM, WA 98226-5532
- **Mailing address phone:** (360) 305-3275
- **Mailing address fax:** (360) 655-5340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CL60205887 | WA | — |
| 101YM0800X | Mental Health Counselor | LH00011061 | WA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD00039758 | WA | Yes |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 10/14/2024
