# EASTSIDE VACCINATION NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326746884
- **Authorized official:** DOLMA SHERPA (OWNER)
- **Authorized official phone:** (206) 307-7553

## Contact information

- **Practice address:** 100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
- **Practice address phone:** (206) 705-9034
- **Mailing address:** 736 8TH AVE NE UNIT 206, ISSAQUAH, WA 98029-5452

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2023
- **Last updated:** 02/23/2023