Organization
MULTICARE HEALTH SYSTEM
Active
Organization
MULTICARE HEALTH SYSTEM
Active
Other names
MultiCare Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
LORI VANDERBUSH (RECRUITING ASSOCIATE)
(253) 403-7726
Entity
Organization
Contact information
Practice address
325 E. PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8548
(253) 697-8598
Mailing address
325 E. PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8548
(253) 697-8598
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
051
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/06/2007
Last updated
06/19/2015
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