Organization
KLICKITAT COUNTY
Active
Parent organization
KLICKITAT COUNTY HEALTH DEPARTMENT
Other names
Vaccines
Organization subpart
Yes
Provider details
NPI number
Legal business name
KLICKITAT COUNTY HEALTH DEPARTMENT
Authorized official
ERINN QUINN RN (DIRECTOR - PUBLIC HEALTH)
(509) 773-2366
Entity
Organization
Contact information
Practice address
115 W COURT ST, ROOM# 103, GOLDENDALE, WA 98620-8905
(503) 773-4565
(509) 773-5991
Mailing address
115 W COURT ST, MS-CH BOX# 103, GOLDENDALE, WA 98620-8905
(509) 773-4565
(509) 773-5991
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000956
—
WA
Enumeration date
05/29/2007
Last updated
02/05/2024
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