Organization
NW FAMILY PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANDON EUGENE POPPLETON PH.D (DIRECTOR)
(360) 261-3355
Entity
Organization
Contact information
Practice address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(360) 261-3355
(360) 326-1522
Mailing address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(360) 261-3355
(360) 326-1522
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
60041144
WA
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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