Individual
EDWARD H EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188
(360) 353-9494
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60499640
WA
Other
Enumeration date
01/26/2009
Last updated
07/23/2018
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