Iredale Professional Services

LBN: Iredale Professional Services
Iredale Professional Services is an health care organization with primary practice located at 1804 Se 170Th Ave , Vancouver WA 98683-3474. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Iredale Professional Services can be contacted via phone (360) 991-0134, or through Iredale, Trudy A via phone (360) 991-0134.

Contact Information

Primary practice address
1804 Se 170Th Ave Vancouver WA 98683-3474
Phone: (360) 991-0134
Fax: (360) 991-0154
Website:
Map and Directions
Authorized official contact:
Name: Iredale, Trudy A PHD
Phone: (360) 991-0134

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1841811783
LBN Legal business name Iredale Professional Services
DBA Doing business as
Authorized official Iredale, Trudy A PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2020
Last updated Aug 19th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841811783 NPPES
Other 1841811783 TYPE II NPI
Other 1770649402 TYPE II NPI
Other PY00003097 TYPE II NPI

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