Organization · Type 2 NPI
Keystone Tides, PLLC
Psychiatric/Mental Health Nurse Practitioner · Port Angeles, WA
NPI number
1306649884
Active
Practice location
115 E Railroad Ave Ste 203
Port Angeles, WA 98362-2925
Fax (425) 433-9177
Mailing address
132 Deer Park Rd # 21
Port Angeles, WA 98362-7185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Port Angeles
About NPI 1306649884
Keystone Tides, PLLC's National Provider Identifier is 1306649884, issued on Mar 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Angeles, WA. The record was last updated on Mar 31, 2025.