# CONFEDERATED TRIBES & BANDS OF THE YAKAMA NATION

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

## Provider details

- **NPI number:** 1790977965
- **Authorized official:** ELLEN M SWAN (PROGRAM MANAGER)
- **Authorized official phone:** (509) 865-5121

## Contact information

- **Practice address:** 401 BUSTER RD, TOPPENISH, WA 98948-9792
- **Practice address phone:** (509) 865-2102
- **Practice address fax:** (509) 865-8995
- **Mailing address:** 80 BIRDSONG LANE, WHITE SWAN, WA 98952
- **Mailing address phone:** (509) 865-5121
- **Mailing address fax:** (509) 874-2113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 261QD0000X | Dental Clinic/Center | DS-091445-L | PA | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 07/09/2009