Provider Information for 1730311895
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BRUCE H HALL RC
Sex: Male
NPI: 1730311895
Last Updated: 2019-04-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1730311895 | ||||||||
| Enumeration Date | 2009-08-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 605 10TH AVE E APT 2 SEATTLE, WA 98102-5070 United States Phone: 206-818-9415 | Fax: | ||||||||
| Primary Practice Address | 1600 E OLIVE ST SOUND MENTAL HEALTH SEATTLE, WA 98122-2735 United States Phone: 206-302-2200 | Fax:206-302-2210 | ||||||||
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