A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1033360144 |
| LBN Legal business name | PROVIDENCE HEALTH & SERVICES-WA |
| Authorized official | DONALD ANDERSON - (ASSIST SECRETARY-ENROLLMENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/07/2008 |
| Last updated | 05/13/2025 - More than a year ago |
| Identifiers | n/a |
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PROVIDENCE HEALTH & SERVICES-WA
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