Provider Demographics
NPI:1326452145
Name:JAMISON CENTER FOR HEALING
Entity Type:Organization
Organization Name:JAMISON CENTER FOR HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT LMP
Authorized Official - Phone:509-212-8745
Mailing Address - Street 1:8220 W GAGE BLVD
Mailing Address - Street 2:PO BOX 739
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8113
Mailing Address - Country:US
Mailing Address - Phone:509-212-8745
Mailing Address - Fax:
Practice Address - Street 1:1045 JADWIN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3405
Practice Address - Country:US
Practice Address - Phone:509-212-8745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60211714225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty