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General NPI Number Information
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NPI Number | 1265386759
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Entity Type | Organization
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Legal Business Name | WILD ROSE PSYCHIATRIC CARE & WELLNESS
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 3112 NE 160TH ST
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City | RIDGEFIELD
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State | WA
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Zip | 98642-9564
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Country | US
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Telephone | 360-573-5785
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Fax | 360-695-6188
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Provider Business Mailing Address
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Address Line | 3112 NE 160TH ST
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City | RIDGEFIELD
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State | WA
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Zip | 98642-9564
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Country | US
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Telephone | 360-573-5785
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Fax | 360-695-6188
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | BETHANY D HILMAN
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Credential | PMHNP
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Telephone | 360-991-5413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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