Organization
CRYSTAL GARRISON NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL GARRISON ARNP, FAMILIY PMHNP (FAMILY PSYCHIATRIC MENTAL HEALTH NP)
(360) 907-1042
Entity
Organization
Contact information
Practice address
304 SE HEARTHWOOD BLVD # 871927, VANCOUVER, WA 98684-7551
(360) 907-1042
Mailing address
304 SE HEARTHWOOD BLVD # 871927, VANCOUVER, WA 98684-7551
(360) 907-1042
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
AP60355508
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
AP60355508
WA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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