Healthcare Provider Details

I. General information

NPI: 1467857573
Provider Name (Legal Business Name): FRANCIS CACLDA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2014
Last Update Date: 10/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4816 SHE NAH NUM DR SE
OLYMPIA WA
98513-9105
US

IV. Provider business mailing address

4816 SHE NAH NUM DR SE
OLYMPIA WA
98513-9105
US

V. Phone/Fax

Practice location:
  • Phone: 360-413-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: