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PUGET SOUND PSYCHIATRIC CENTER, PS

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Company Details

Legal Name: PUGET SOUND PSYCHIATRIC CENTER, PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 24th 2001
Expiration date: 31 Jan 2026
UBI Number: 602 101 036
ZIP code: 98011
City: Bothell
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 10634 E RIVERSIDE DR, SUITE 130, BOTHELL, WA, 98011-3758, UNITED STATES

Contact Details

E-Mail: SJMUSTAFAMD@PSPC.ORG
Phone Number: +1 425-806-5021

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JEFFREY M GRIEFF Registered Agent 1200 5TH AVE STE 1950, SEATTLE, WA, 98101-1183, UNITED STATES

Key Officers & Management

Name Role Address
SYED JAMAL MUSTAFA MD Governing Person 10634 E RIVERSIDE DR #130, BOTHELL, WA, 98011, UNITED STATES

National Provider Identifier

NPI Number:
1114254729

Authorized Person:

Name:
DR. SYED JAMAL MUSTAFA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist
Is Primary:
No
Selected Taxonomy:
390200000X - Student in an Organized Health Care Education/Training Program
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
4254863949
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