Organization
DAVID C WADE PSY D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C WADE PSY D (DR)
(541) 436-2998
Entity
Organization
Contact information
Practice address
1100 E MARINA WAY, SUITE 221, HOOD RIVER, OR 97031-2305
(541) 436-2998
Mailing address
PO BOX 2289, WHITE SALMON, WA 98672-2289
(509) 493-1467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115025
MANAGED HEALTH NETWORK
OR
01
—
400707
VALUE OPTIONS
OR
01
—
885235000
BCBS
OR
01
—
YC73001
PACIFIC SOURCE
OR
Enumeration date
12/31/2006
Last updated
03/21/2013
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