Psychiatry & Neurology, Neurology
IDALIS INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1184640591 · enumerated 2006-07-15 · record updated 2007-12-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SAMUEL COOR DO, Owner · (360) 413-1728
Addresses and phones
- Mailing address 3663 COLLEGE ST SE STE A, LACEY, WA, 98503-3529 (360) 413-1728 Fax (360) 413-1669 Google Maps Apple Maps OpenStreetMap
- Practice location 3663 COLLEGE ST SE STE A, LACEY, WA, 98503-3529 (360) 413-1728 Fax (360) 413-1669 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Neurology 2084N0400X · Primary · License 06-00027820 WA
In this directory
Locations and evidence
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Practice location
LACEY, WA, 985033529
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.