DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. EILENE LAREE RICKENBACHER SUDPT

MEDICARE: MRS. EILENE LAREE RICKENBACHER SUDPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCO60956969WA

General Provider Information

NPI Number : 1588332936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EILENE LAREE RICKENBACHER SUDPT
Provider Business Mailing Address
First Line : 716 S CHASE ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6122
Country : US
Telephone Number : 360-395-2976
Fax Number : 360-395-2977
Provider Business Practice Location Address
First Line : 716 S CHASE ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6122
Country : US
Telephone Number : 360-395-2976
Fax Number : 360-395-2977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

Similar Medicare Providers

1750217766 — WENDY GOURLEY
Practice Location Address:
716 S CHASE ST
PORT ANGELES, WA
98362-6122
Practice Phone: 360-203-6997
Practice Fax:
1659919561 — BAART BEHAVIORAL HEALTH SERVICES, INC.
Practice Location Address:
716 S CHASE ST
PORT ANGELES, WA
98362-6122
Practice Phone: 360-395-2976
Practice Fax:
1508465378 — ESTENE LYMAN SUDPT
Practice Location Address:
716 S CHASE ST
PORT ANGELES, WA
98362-6122
Practice Phone: 360-395-2976
Practice Fax:
1386243186 — LINDA GALE WEED
Practice Location Address:
716 S CHASE ST
PORT ANGELES, WA
98362-6122
Practice Phone: 360-395-2976
Practice Fax: 360-395-2977
1083214035 — MARNIE CORRINE WOODSON LPN
Practice Location Address:
716 S CHASE ST
PORT ANGELES, WA
98362-6122
Practice Phone: 360-395-2976
Practice Fax: 360-395-2977
1528644127 — JENNIFER JONES
Practice Location Address:
716 S CHASE ST
PORT ANGELES, WA
98362-6122
Practice Phone: 360-395-2976
Practice Fax:

Directions to “ MRS. EILENE LAREE RICKENBACHER SUDPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.