Otis Edd Payne, M.d.,ps
NPI #1073705166 in Lake Forest Park, Washington
Provider Information
- NPI Number
- 1073705166
- Entity Type
- Organization
- Organization Name
- Otis Edd Payne, M.d.,ps
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 13, 2007
- Last Updated
- Aug 13, 2007
Practice Location
- Address
- 18015 53RD AVE NE
- City
- Lake Forest Park
- State
- Washington
- ZIP Code
- 98155-4361
- Phone
- (206) 427-2171
Authorized Official
- Name
- DR. OTIS EDD PAYNE, M.D.
- Title
- PRESIDENT
- Phone
- (206) 427-2171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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