Kodiak Healthcare
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Millwood, WA
NPI 1245027309 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1245027309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- KODIAK HEALTHCARE
- Practice address
- 8923 E Euclid Ave
Millwood, WA 99212-2048 - Phone
- (509) 496-3066
- NPI assigned
- Apr 22, 2025
- Organization subpart
- No
Authorized official
- Name
- Sarah Joy Manfred, ARNP
- Title
- Owner
- Phone
- (509) 496-3066
Practitioners 1
-
Sarah Manfred, ARNP
National Provider Directory
Locations
8923 E Euclid Ave
Millwood, WA 99212
Phone (509) 496-3066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
8923 E Euclid Ave
Millwood, WA 99212-2048
Mailing address
PO Box 11742
Spokane Valley, WA 99211-1742
Phone (509) 496-3066
Other names
- Kodiak Mental Health
Other providers in Millwood, WA
- Debra K Campbell
- Melissa L Dailey
- Danu Therapy, PS
- John Fairbanks
- Kenisha Yvette Garcia
- Ryan Nicole Leinen
- Jesse Lee Luhman
- Samantha Nichole Magby
- Autumn Payne
- Quirt, Gibree, Mongrain, P.C.
All providers in Millwood, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.