Organization

Korsgaard Mental Health, Inc

Psychiatric/Mental Health Nurse Practitioner in Spokane, WA(View on Map)

Legal Business Name

Korsgaard Mental Health, Inc

NPI Number

1245507664

NPI Type

Organization

Enumeration Date

11/30/2011

Specialties

(Taxonomies)

Code

363LP0808X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

AP30007598

Contact
Information

Purpose

Mailing
Location

Address

140 S ARTHUR ST
140 S 140 ARTHUR ST

City

Spokane
Spokane

State

WA
WA

Postal Code

99202-2204
99202-2220

Country

US
US

Telephone Number

(509) 389-5794
(509) 389-5794

Authorized Official

Name

Mr. Christopher Korsgaard

Title or Position

CHAIRMAN OF THE BOARD

Telephone Number

(509) 389-5794

Identifiers

Identifier

20000528

Identifier State

WA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/30/2016

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