| Northwest Hope & Recovery Center, Pllc | |
|
7406 27th St W, Ste 210 University Place WA 98466 | |
| (253) 444-8990 | |
| (253) 442-6117 |
| Full Name | Northwest Hope & Recovery Center, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7406 27th St W, Ste 210, University Place, Washington |
| Authorized Official Name and Position | William Michael Rogers (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2534448990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Hope & Recovery Center, Pllc 7406 27th St W, Ste 210 University Place WA 98466 Ph: (253) 444-8990 | Northwest Hope & Recovery Center, Pllc 7406 27th St W, Ste 210 University Place WA 98466 Ph: (253) 444-8990 |
| NPI Number | 1801049176 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Medicare PECOS PAC ID | 7214097104 |
|---|---|
| Medicare Enrollment ID | O20081121000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801049176 | NPI | - | NPPES |
| 2204465 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | PY00003741 (Washington) | Secondary |
| Provider Name | William M Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285824458 PECOS PAC ID: 9436242443 Enrollment ID: I20070907000281 |
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