# PUBLIC HOSPITAL DIST NO 1 SKAGIT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skagit Regional Clinics - Smokey Point
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497163448
- **Authorized official:** PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (360) 814-5838

## Contact information

- **Practice address:** 3823 172ND ST NE, ARLINGTON, WA 98223-7735
- **Practice address phone:** (360) 618-5000
- **Mailing address:** 1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
- **Mailing address phone:** (360) 814-6724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/21/2022