Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 LANE DE CHANTEL # A
PORT TOWNSEND WA
98368-9671
US

IV. Provider business mailing address

281 A LANE DE CHANTAL
PORT TOWNSEND WA
98368-0873
US

V. Phone/Fax

Practice location:
  • Phone: 360-379-3500
  • Fax: 360-379-8866
Mailing address:
  • Phone: 360-379-3500
  • Fax: 360-379-8866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00067869
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30006958
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY1976
License Number StateWA

VIII. Authorized Official

Name: DR. BRUCE JOHN TAPPER
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 360-379-3500