| P. Bonebrake Md Child And Adolescent Psychiatry Llc | |
|
17220 127th Pl Ne Ste 101a Woodinville WA 98072-7965 | |
| (425) 449-9710 | |
| Not Available |
| Full Name | P. Bonebrake Md Child And Adolescent Psychiatry Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 17220 127th Pl Ne Ste 101a, Woodinville, Washington |
| Authorized Official Name and Position | Portia Bonebrake (SOLE MEMBER) |
| Authorized Official Contact | 4254499710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P. Bonebrake Md Child And Adolescent Psychiatry Llc Po Box 113 Kirkland WA 98083-0113 Ph: () - | P. Bonebrake Md Child And Adolescent Psychiatry Llc 17220 127th Pl Ne Ste 101a Woodinville WA 98072-7965 Ph: (425) 449-9710 |
| NPI Number | 1043620925 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 05/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043620925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 60097435 (Washington) | Primary |
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