Gunderson, Patricia L.
Gunderson, Patricia L. is an individual health care provider with primary practice located at 850 Maple Street , Medical Lake WA 99022-0800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gunderson, Patricia L. can be contacted via phone (509) 565-4000.Contact Information
Primary practice address
850 Maple Street
Medical Lake WA 99022-0800
Phone: (509) 565-4000
Fax: (509) 565-7015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00001727 | Washington |
Profile Details
| NPI number | 1053393652 |
|---|---|
| LBN Legal business name | Gunderson, Patricia L. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jan 29th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053393652 | NPPES |
| Washington | MEDICAID | 8388266 |
Popular Providers
-
Mathews, Lisa
850 W. Maple St. , Medical Lake WA 99022 -
Botzheim, Ciera Caprice
Eastern State Hospital 850 Maple Street, Medical Lake WA 99022-0800 -
Zampich, Christina L.
850 Maple Street , Medical Lake WA 99022-0800 -
Brown, Catherine Louise Kuhn
23403 E Mission Ave Ste 200I , Liberty Lake WA 99019-7575 -
Diamond, Ashley Marie
605 S Coolidge St , Moses Lake WA 98837-1893 -
Ramsdale, Ashley Nicole
850 W Maple St , Medical Lake WA 99022-5139 -
Cole, Kimberly
108 N Jefferson St , Medical Lake WA 99022-9613 -
Noonberg, Aaron Ronald
7600 Osler Dr Ste 211, Towson MD 21204-7701