Organization
PROGRESSIVE PSYCHIATRIC CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAKPOLO UWOGHIREN (OWNER OF ENTITY)
(425) 312-3184
Entity
Organization
Contact information
Practice address
170 S LINCOLN ST # 150, SPOKANE, WA 99201-4443
(425) 312-3184
Mailing address
2003 SUNSET SPRINGS DR, PEARLAND, TX 77584-6815
(425) 312-3184
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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