VASHON LUTHERAN CHURCH NPI 1336205749

NPI Information

NPI: 1336205749
Provider Name: VASHON LUTHERAN CHURCH

Other Name: JEFFREY J. LARSON, PH.D.

Classification: Counselor - 101YP1600X
Entity Type: Organization

Specialization: Pastoral

Address:
18623 VASHON HWY SW
VASHON, WA
ZIP 98070
Phone: (206) 463-6359
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VASHON LUTHERAN CHURCH is a pastoral counselor in Vashon, WA. VASHON LUTHERAN CHURCH NPI is 1336205749. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Jeffrey J. Larson, Ph.d..

The provider's business location address is:

18623 VASHON HWY SW
VASHON, WA
ZIP 98070-211
Phone: (206) 463-6359

The provider's authorized official is Jeffrey J Larson .
The authorized official title is Psychologist and has the following contact phone number (206) 463-6359.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral	3718	WASHINGTON	Yes
2	103TC0700X	Psychologist	Clinical	1608	WASHINGTON	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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