Search › Washington › 101Y00000X
Jeffrey Michaelis
NPI 1174385843 · on the registry since 2024 · sole proprietor
Practice
- Address
- 30 S Louisiana St Ste 5
Kennewick, WA 99336 - Phone
- (509) 392-2341
- Organisation at this address
- Eagle Cap Coffee Llc
Mindful Psychiatry, Pllc
Elizondo Psychiatric Solutions PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington