What is Patricia Burback's NPI number?

The NPI number assigned to this healthcare provider is 1689218356, enumerated as a individual on November 5, 2019.

Where is the provider located?

The provider is located at 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 and the phone number is (360) 397-8246.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

PATRICIA J BURBACK - NPI 1689218356 - Peer Specialist in Vancouver, WA

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About Patricia J Burback NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA J BURBACK (NPI 1689218356) is an individual peer specialist in Vancouver, Washington, licensed in Washington (CG61019269) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1689218356

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NamePATRICIA J BURBACK

Location Address1601 E FOURTH PLAIN BLVDVancouver, WA 98661-3713

Mailing AddressPo Box 1678Vancouver, WA 98668-1678

Phone(360) 397-8246

Sole ProprietorYes

Enumeration DateNovember 5, 2019

✔ NPI 1689218356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WA · CG61019269

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1601 E FOURTH PLAIN BLVD, Vancouver, WA 98661

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