# WASHINGTON STATE DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Newborn Screening Metabolic Treatment Product Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194820001
- **Authorized official:** MR. HARVEY A. PEREZ (ASST SECRETARY, FINANCIAL SERVICES)
- **Authorized official phone:** (360) 236-4503

## Contact information

- **Practice address:** 1610 NE 150TH ST, SHORELINE, WA 98155-7224
- **Practice address phone:** (206) 418-5410
- **Practice address fax:** (206) 418-5415
- **Mailing address:** PO BOX 47901, OLYMPIA, WA 98504-7901
- **Mailing address phone:** (360) 236-4503
- **Mailing address fax:** (360) 236-4500

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 02/19/2013
