Organization
BELLEVUE CLINIC FOR BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSAMA BANKESLY MD (PRESIDENT)
(206) 403-8814
Entity
Organization
Contact information
Practice address
2105 112TH AVE NE, SUITE 201, BELLEVUE, WA 98004-2945
(253) 347-2665
Mailing address
2105 112TH AVE NE, SUITE 201, BELLEVUE, WA 98004-2945
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MD00045130
WA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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