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Find providers by NPI
Organization

JAVAMAN PS

Active
Parent organization
JAVAMAN PS
Other names
Pacific Northwest Rehab & Diagnostics
Organization subpart
Yes

Provider details

NPI number
Legal business name
JAVAMAN PS
Authorized official
ERIC D SHORT-MILLER (OWNER)
(360) 733-4008
Entity
Organization

Contact information

Practice address
381 W HORTON RD, BELLINGHAM, WA 98226-7740
(360) 733-4008
(360) 733-4064
Mailing address
2075 BARKLEY BLVD STE 200, BELLINGHAM, WA 98226-6696
(360) 733-4008

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
02/13/2023
Last updated
09/05/2023
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