Individual provider · Type 1 NPI

Maria R. Malkasian, SUDPT

Substance Use Disorder Rehabilitation Clinic/Center · Port Angeles, WA

NPI number 1922617877 Active

Practice location

3430 E Highway 101 Ste 3
Port Angeles, WA 98362-9069

Call (360) 452-4062 Map

Fax (360) 452-4189

Mailing address

PO Box 478
Port Angeles, WA 98362-0072

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XCO61081882 (WA)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1922617877

Maria R. Malkasian, SUDPT's National Provider Identifier is 1922617877, issued on Jul 27, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Port Angeles, WA. The record was last updated on Jul 27, 2020.