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PASCAL THURAM HABIYAREMYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
11801 NE 65TH ST STE A&B, VANCOUVER, WA 98662-5527
(360) 558-5790
(360) 558-5791
Mailing address
4105 W SAINT CHARLES AVE, PHOENIX, AZ 85041-4980
(602) 410-0159
(360) 558-5791

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
223694
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70069887
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RNP223694
AZ

Other

Enumeration date
05/16/2023
Last updated
01/28/2026
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