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Organization
STILLAGUAMISH TRIBAL HEALTH CLINIC
Active
Organization
STILLAGUAMISH TRIBAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNIELLE MARIE HANCOCK (ACCOUNT MANAGER)
(360) 631-5971
Entity
Organization
Contact information
Practice address
24205 JAMES DORSEY WAY STE 1, ARLINGTON, WA 98223-6029
(360) 435-9338
(360) 435-2266
Mailing address
24205 JAMES DORSEY WAY STE 1, ARLINGTON, WA 98223-6029
(360) 435-9338
(360) 435-2266
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
AP30001255
WA
261QP2300X
Primary Care Clinic/Center
AP30001255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093558
—
WA
05
—
8456352
—
WA
05
—
9600198
—
WA
Enumeration date
07/01/2006
Last updated
08/18/2023
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