Organization
PMO CARE, PLLC
Active
Other names
Integra Health
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FRANSKOUSKY (CEO)
(425) 283-4200
Entity
Organization
Contact information
Practice address
1215 120TH AVE NE, SUITE 201, BELLEVUE, WA 98005
(425) 283-4200
(425) 679-5679
Mailing address
1215 120TH AVE NE, SUITE 201, BELLEVUE, WA 98005
(425) 283-4200
(425) 679-5679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
MD159813
OR
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD0016837
WA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
602725791
WA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047471
—
WA
01
—
G8879133
PTAN
WA
Enumeration date
08/04/2008
Last updated
03/13/2017
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