Organization
PINEL CLINIC,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LONGMUIR MBA (BILLING MANAGER)
(800) 831-3322
Entity
Organization
Contact information
Practice address
1800 COOPER POINT RD SW, BLDG 18, OLYMPIA, WA 98502-1178
(360) 491-8002
Mailing address
1800 COOPER POINT RD SW, BLDG 18, OLYMPIA, WA 98502-1178
(360) 491-8002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00018680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7129067
—
WA
Enumeration date
08/10/2007
Last updated
06/17/2009
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