Provider Demographics
NPI:1790433670
Name:SAJE PSYCHIATRY
Entity Type:Organization
Organization Name:SAJE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:888-948-6026
Mailing Address - Street 1:5401 S TACOMA WAY STE 407
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-4312
Mailing Address - Country:US
Mailing Address - Phone:888-948-6026
Mailing Address - Fax:
Practice Address - Street 1:5401 S TACOMA WAY STE 407
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-4312
Practice Address - Country:US
Practice Address - Phone:253-262-4744
Practice Address - Fax:855-202-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty