Individual
DR. DAVID GRANT RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
16030 BOTHELL EVERETT HWY, SUITE 295, MILL CREEK, WA 98012-1741
(425) 337-7133
Mailing address
16030 BOTHELL EVERETT HWY, SUITE 295, MILL CREEK, WA 98012-1741
(425) 337-7133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11608357
CAQH AETNA
WA
01
—
6705900
PREMERA
WA
05
—
70281175
—
WA
Enumeration date
12/23/2006
Last updated
07/08/2007
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