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Organization

THIRA HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MEHRI DAMAVANDI MOORE MD (MEDICAL DIRECTOR)
(206) 930-2616
Entity
Organization

Contact information

Practice address
11400 SE 6TH STREET, STE 200, BELLEVUE, WA 98004-6423
(425) 454-1199
(425) 454-8779
Mailing address
11400 SE 6TH STREET, STE 200, BELLEVUE, WA 98004-6423
(425) 454-1199
(425) 454-8779

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
10/23/2014
Last updated
09/28/2023
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