=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548561376
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT CHRISTOPHER SAFFORD M.S.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2010
-----------------------------------------------------
Last Update Date | 02/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4503 MALLET ST
-----------------------------------------------------
City | WEST RICHLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99353-7799
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-380-7279
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4503 MALLET ST
-----------------------------------------------------
City | WEST RICHLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99353-7799
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-380-7279
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LH60252776
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------