Organization
TULALIP TRIBES OF WASHINGTON
Active
Other names
Tulalip Tribes Family Services - Adult Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
GARY FERGUSON ND (INTERIM HEALTH SYSTEM ADMINISTRATOR)
(360) 716-5675
Entity
Organization
Contact information
Practice address
2821 MISSION HILL RD, TULALIP, WA 98271
(360) 716-4400
(360) 716-5789
Mailing address
6406 MARINE DR STE A, TULALIP, WA 98271
(360) 651-4400
(360) 716-5789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036113
—
WA
Enumeration date
05/01/2007
Last updated
03/25/2026
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