Organization
CHINOOK ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A MARTIN (CEO)
(360) 428-0140
Entity
Organization
Contact information
Practice address
2026 N LAVENTURE RD, MOUNT VERNON, WA 98273-5807
(360) 428-0140
(360) 428-1616
Mailing address
2026 N LAVENTURE RD, MOUNT VERNON, WA 98273-5807
(360) 428-0140
(360) 428-1616
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
10/18/2018
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