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NPI Code Detail

MEDICARE: AMY MOK PMHNP

MEDICARE:   AMY  MOK  PMHNP
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
12084P0800XPsychiatry PhysicianAP60784269WA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP60784269WA

General Provider Information

NPI Number : 1972018042
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MOK PMHNP
Provider Business Mailing Address
First Line : 359 NW 47TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98107-4446
Country : US
Telephone Number : 586-480-7000
Fax Number :
Provider Business Practice Location Address
First Line : 7803 NE FOURTH PLAIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-7294
Country : US
Telephone Number : 586-480-7000
Fax Number : 360-695-0628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2017
Last Update Date : 02/18/2026

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