# TULALIP TRIBES OF WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TULALIP FAMILY SERVICES
- **Other names:** Tulalip Child, Youth, and Family Mental Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831325687
- **Legal business name:** TULALIP FAMILY SERVICES
- **Authorized official:** NORMA RAZOTE (MANAGING DIRECTOR OF HEALTH SERVICE)
- **Authorized official phone:** (360) 716-4142

## Contact information

- **Practice address:** 4033 76TH PLACE NW, TULALIP, WA 98271
- **Practice address phone:** (360) 716-4224
- **Practice address fax:** (360) 716-5789
- **Mailing address:** 6406 MARINE DR STE A, TULALIP, WA 98271
- **Mailing address phone:** (360) 716-4400
- **Mailing address fax:** (360) 716-5789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 04/03/2019
