Provider Demographics
NPI:1700933454
Name:PARTNERS IN WELL-BEING, P.C., INC.
Entity Type:Organization
Organization Name:PARTNERS IN WELL-BEING, P.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:TAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-379-3500
Mailing Address - Street 1:281 A LANE DE CHANTAL
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-0873
Mailing Address - Country:US
Mailing Address - Phone:360-379-3500
Mailing Address - Fax:360-379-8866
Practice Address - Street 1:281 LANE DE CHANTEL # A
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-9671
Practice Address - Country:US
Practice Address - Phone:360-379-3500
Practice Address - Fax:360-379-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY1976103TC0700X
103TC0700X
WARN00067869163W00000X
WAAP30006958363LP0808X
WAAP30004411363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB33598Medicare ID - Type Unspecified