Organization
BISON HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LEE MERTES (ADMINISTRATOR)
(206) 948-2582
Entity
Organization
Contact information
Practice address
401 OLYMPIA AVE NE STE 353, RENTON, WA 98056-4117
(206) 948-2582
Mailing address
PO BOX 18711, SEATTLE, WA 98118-0711
(206) 948-2582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/20/2024
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