Organization
SKOOKUM EDUCATIONAL PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WIESE (CONTRACTS MANAGER)
(360) 475-0756
Entity
Organization
Contact information
Practice address
4525 AUTO CENTER WAY, BREMERTON, WA 98312-4312
(360) 475-0756
(360) 475-0757
Mailing address
PO BOX 5359, BREMERTON, WA 98312-0518
(360) 475-0756
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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