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Organization

NORTHWEST BEHAVIORAL MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER PHILLIPS CPC (BILLING MANAGER)
(360) 567-3284
Entity
Organization

Contact information

Practice address
3400 MAIN ST, VANCOUVER, WA 98663
(360) 696-5016
(360) 696-5032
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(503) 283-5220
(503) 283-9527

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
838243000
BLUE CROSS
OR
Enumeration date
04/28/2006
Last updated
05/29/2008
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