| Green Park Northwest Psychiatry Llc | |
|
15805 Ne 28th St Bellevue WA 98008-2127 | |
| (470) 760-2426 | |
| Not Available |
| Full Name | Green Park Northwest Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15805 Ne 28th St, Bellevue, Washington |
| Authorized Official Name and Position | Ibrahim Rahman (OWNER) |
| Authorized Official Contact | 4707602426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Park Northwest Psychiatry Llc 15805 Ne 28th St Bellevue WA 98008-2127 Ph: (470) 760-2426 | Green Park Northwest Psychiatry Llc 15805 Ne 28th St Bellevue WA 98008-2127 Ph: (470) 760-2426 |
| NPI Number | 1578437356 |
|---|---|
| Provider Enumeration Date | 10/03/2025 |
| Last Update Date | 10/03/2025 |
| Certification Date | 10/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578437356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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