Organization
PACIFIC PSYCHIATRIC CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUPRIYA KANG MD (OWNER / SOLE PROPRIETOR)
(425) 749-5008
Entity
Organization
Contact information
Practice address
24001 56TH AVE W, SUITE D404, MOUNTLAKE TERRACE, WA 98043-5558
(425) 749-5008
(866) 305-0497
Mailing address
24001 56TH AVE W, SUITE D404, MOUNTLAKE TERRACE, WA 98043-5558
(425) 749-5008
(866) 305-0497
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD00047610
WA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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