Organization
PALOUSE PSYCHIATRY AND BEHAVIORAL HEALTH
Active
Parent organization
PULLMAN REGIONAL HOSPITAL CLINIC NETWORK LLC
Other names
Palouse Psychiatry and Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PULLMAN REGIONAL HOSPITAL CLINIC NETWORK LLC
Authorized official
STEVEN FEBUS (CFO)
(509) 332-6139
Entity
Organization
Contact information
Practice address
840 SE BISHOP BLVD, SUITE 203, PULLMAN, WA 99163-5502
(509) 339-2394
(509) 336-7484
Mailing address
840 SE BISHOP BLVD, SUITE 101, PULLMAN, WA 99163-5502
(509) 332-6139
(509) 332-6579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8891113
MEDICARE PTAN
WA
Enumeration date
01/28/2010
Last updated
07/21/2022
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