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General NPI Number Information
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NPI Number | 1831008820
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Entity Type | Organization
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Legal Business Name | PACIFIC RIDGE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 3713 PACIFIC AVE STE E
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City | TACOMA
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State | WA
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Zip | 98418-7845
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Country | US
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Telephone | 253-921-0364
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Fax |
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Provider Business Mailing Address
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Address Line | 3713 PACIFIC AVE STE E
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City | TACOMA
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State | WA
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Zip | 98418-7845
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Country | US
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Telephone | 253-921-0364
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | BORAY THACH
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Credential | DNP, PMHNP-BC
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Telephone | 253-921-0364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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