Organization
CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA LOUISE DE MASO PHD. (MENTAL HEALTH THERAPIST)
(206) 987-2000
Entity
Organization
Contact information
Practice address
1135 116TH AVE NE, BELLEVUE, WA 98004-4623
(206) 987-2000
(425) 451-0214
Mailing address
1205 NE 88TH ST, SEATTLE, WA 98115-3126
(206) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
LH00007347
WA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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