Organization · Type 2 NPI
Magnolia Psychiatry, LLC
Addiction Psychiatry Physician · Bellevue, WA
NPI number
1003346594
Active
Practice location
12729 Northup Way Ste 6
Bellevue, WA 98005-1935
Fax (425) 467-0100
Mailing address
PO Box 7239
Bellevue, WA 98008-1239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Psychiatry Physician Primary | 2084P0802X | MD00036813 (WA) |
Addiction Psychiatry Physician: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Another provider at this address
About NPI 1003346594
Magnolia Psychiatry, LLC's National Provider Identifier is 1003346594, issued on Jun 15, 2017. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in Bellevue, WA. The record was last updated on Apr 17, 2019.