Organization
CRESCENT PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANRAJ VARU MD (PROVIDER/OWNER)
(253) 514-8076
Entity
Organization
Contact information
Practice address
3819 100TH ST SW, SUITE 7-C, LAKEWOOD, WA 98499-4470
(253) 588-7911
(253) 984-6774
Mailing address
7191 WAGNER WAY NW, SUITE 301, GIG HARBOR, WA 98335-6909
(253) 514-8076
(253) 514-8078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MD00030816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243791
LABOR & INDUSTRIES
WA
Enumeration date
08/11/2009
Last updated
08/11/2009
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