Organization
CENTER FOR ASSESSMENT & THERAPY SERVICES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYN PETERSON (BUSINESS MANAGER)
(425) 533-5487
Entity
Organization
Contact information
Practice address
10634 E RIVERSIDE DR, SUITE 130, BOTHELL, WA 98011-3757
(425) 533-5487
Mailing address
10634 E RIVERSIDE DR, SUITE 130, BOTHELL, WA 98011-3757
(425) 533-5487
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113067
—
WA
Enumeration date
08/05/2007
Last updated
11/23/2016
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