Provider Demographics
NPI:1659157998
Name:LACAMAS VIEW MENTAL HEALTH
Entity type:Organization
Organization Name:LACAMAS VIEW MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:480-206-8084
Mailing Address - Street 1:2005 SE 192ND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7475
Mailing Address - Country:US
Mailing Address - Phone:360-585-4563
Mailing Address - Fax:360-282-1217
Practice Address - Street 1:2005 SE 192ND AVE STE 200
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7475
Practice Address - Country:US
Practice Address - Phone:360-585-4563
Practice Address - Fax:360-282-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty