| Virginia Mason Medical Center-psychiatry | |
|
1100 9th Ave Seattle WA 98101-2756 | |
| (206) 223-6762 | |
| Not Available |
| Full Name | Virginia Mason Medical Center-psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1100 9th Ave, Seattle, Washington |
| Authorized Official Name and Position | Lisa D Ness (MKT DIRECTOR) |
| Authorized Official Contact | 2062236711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Mason Medical Center-psychiatry Po Box 741515 Los Angeles CA 90074-1515 Ph: (206) 515-5811 | Virginia Mason Medical Center-psychiatry 1100 9th Ave Seattle WA 98101-2756 Ph: (206) 223-6762 |
| NPI Number | 1124176904 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 9830002617 |
|---|---|
| Medicare Enrollment ID | O20210831003309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124176904 | NPI | - | NPPES |
| 7069420 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20070330000245 |
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