Individual provider · Type 1 NPI

Richard Austin Lewallen Ii, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Burien, WA

NPI number 1235951070 Active

Practice location

15811 Ambaum Blvd SW Ste 110
Burien, WA 98166-3071

Fax (206) 629-6470

Mailing address

100 N Howard St Ste R
Spokane, WA 99201-0508

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X331689 (AZ)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XGAA-NP002848 (GA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61629938 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1235951070

Richard Austin Lewallen Ii, PMHNP-BC's National Provider Identifier is 1235951070, issued on Oct 31, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Burien, WA. The record was last updated on Jan 4, 2026.