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Organization
WASHINGTON STATE UNIVERSITY
Active
Organization
WASHINGTON STATE UNIVERSITY
Active
Other names
Cougar Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL W. SCHWARTZKOPF (EXECUTIVE DIRECTOR)
(509) 335-3575
Entity
Organization
Contact information
Practice address
1125 SE WASHINGTON STREET, PULLMAN, WA 99164-2302
(509) 335-3575
(509) 335-1684
Mailing address
1125 SE WASHINGTON STREET, PO BOX 642302, PULLMAN, WA 99164-2302
(509) 335-3575
(509) 335-1684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048200
LABOR & INDUSTRIES
WA
05
—
7082100
—
WA
05
—
7901051
—
WA
01
—
8936100
CRIME VICTIMS
WA
Enumeration date
11/03/2006
Last updated
05/25/2021
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