# WASHINGTON STATE DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WASHINGTON STATE DEPARTMENT OF HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093120743
- **Legal business name:** WASHINGTON STATE DEPARTMENT OF HEALTH
- **Authorized official:** JENNIFER TEBALDI (ASSISTANT SECRETARY)
- **Authorized official phone:** (360) 236-4204

## Contact information

- **Practice address:** 310 ISRAEL RD SE, TUMWATER, WA 98501-5567
- **Practice address phone:** (360) 236-3479
- **Practice address fax:** (360) 664-2216
- **Mailing address:** PO BOX 47841, OLYMPIA, WA 98504-7841
- **Mailing address phone:** (360) 236-3479
- **Mailing address fax:** (360) 664-2216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2014
- **Last updated:** 06/20/2014