MEDICARE: TMS NW PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1932861242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMS NW PLLC

Provider Business Mailing Address
First Line	:	5512 NE 109TH CT STE N
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98662-6175
Country	:	US
Telephone Number	:	360-719-2449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1338 COMMERCE AVE STE 202
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-3726
Country	:	US
Telephone Number	:	360-719-2449
Fax Number	:	360-356-1124

Authorized Official
Title or Position	:	CO-OWNER
Name	:	PIPER BUERSMEYER
Credential	:	PMHNP
Telephone Number	:	360-719-2449

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	10/13/2021

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