Organization
KORSGAARD MENTAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER PATRICK KORSGAARD ARNP (CHAIRMAN OF THE BOARD)
(509) 389-5794
Entity
Organization
Contact information
Practice address
140 S 140 ARTHUR ST, STE 415, SPOKANE, WA 99202-2220
(509) 389-5794
(509) 533-0627
Mailing address
140 S ARTHUR ST, STE 670, SPOKANE, WA 99202-2204
(509) 389-5794
(509) 533-9627
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007598
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20000528
—
WA
Enumeration date
11/30/2011
Last updated
11/30/2016
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