Provider Demographics
NPI:1851365167
Name:POSITIVE OUTLOOK ASSOCIATES PLLC
Entity Type:Organization
Organization Name:POSITIVE OUTLOOK ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DELLA REESE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MN, ARNP, BC
Authorized Official - Phone:360-823-2323
Mailing Address - Street 1:8807 E MILL PLAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-2532
Mailing Address - Country:US
Mailing Address - Phone:360-823-2323
Mailing Address - Fax:360-450-2351
Practice Address - Street 1:8807 E MILL PLAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-2532
Practice Address - Country:US
Practice Address - Phone:360-823-2323
Practice Address - Fax:360-450-2351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007047163WP0807X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9646456Medicaid
WAQ52912Medicare UPIN
WA9646456Medicaid