Provider Demographics
NPI:1932861242
Name:TMS NW PLLC
Entity type:Organization
Organization Name:TMS NW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIPER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUERSMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:360-719-2449
Mailing Address - Street 1:5512 NE 109TH CT STE N
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6175
Mailing Address - Country:US
Mailing Address - Phone:360-719-2449
Mailing Address - Fax:
Practice Address - Street 1:1338 COMMERCE AVE STE 202
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-3726
Practice Address - Country:US
Practice Address - Phone:360-719-2449
Practice Address - Fax:360-356-1124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty