MEDICARE: PARTNERS IN WELL-BEING, P.C., INC.

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
1	103TC0700X	Clinical Psychologist
2	163W00000X	Registered Nurse	RN00067869	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30006958	WA
4	103TC0700X	Clinical Psychologist	PY1976	WA

General Provider Information

NPI Number	:	1700933454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS IN WELL-BEING, P.C., INC.

Provider Business Mailing Address
First Line	:	281 A LANE DE CHANTAL
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-0873
Country	:	US
Telephone Number	:	360-379-3500
Fax Number	:	360-379-8866

Provider Business Practice Location Address
First Line	:	281 LANE DE CHANTEL # A
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-9671
Country	:	US
Telephone Number	:	360-379-3500
Fax Number	:	360-379-8866

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRUCE JOHN TAPPER
Credential	:	PH.D.
Telephone Number	:	360-379-3500

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	01/05/2023

Similar Medicare Providers

1144398827 — DR. BRUCE JOHN TAPPER PH.D
Practice Location Address:

281 LANE DE CHANTEL # A
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1871599340 — BONNIE L MASI PT
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