P. Bonebrake MD Child and Adolescent Psychiatry LLC
NPI #1043620925 in Woodinville, Washington
Provider Information
- NPI Number
- 1043620925
- Entity Type
- Organization
- Organization Name
- P. Bonebrake MD Child and Adolescent Psychiatry LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- May 1, 2014
- Last Updated
- May 1, 2014
Practice Location
- Address
- 17220 127TH PL NE STE 101A
- City
- Woodinville
- State
- Washington
- ZIP Code
- 98072-7965
- Phone
- (425) 449-9710
Authorized Official
- Name
- DR. PORTIA BONEBRAKE, M.D.
- Title
- SOLE MEMBER
- Phone
- (425) 449-9710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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