Provider Demographics
NPI:1457639783
Name:ROBERTO OELSNER AND MIRTA BERMAN-OELSNER FIPA PLLC
Entity Type:Organization
Organization Name:ROBERTO OELSNER AND MIRTA BERMAN-OELSNER FIPA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:RAUL
Authorized Official - Last Name:OELSNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-441-3667
Mailing Address - Street 1:4119 DAYTON AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7722
Mailing Address - Country:US
Mailing Address - Phone:206-441-3667
Mailing Address - Fax:206-374-3721
Practice Address - Street 1:4119 DAYTON AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7722
Practice Address - Country:US
Practice Address - Phone:206-441-3667
Practice Address - Fax:206-374-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH601637728261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)