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Organization

SNOHOMISH HEALTH DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD E. PETERSON (BUSINESS MANAGER)
(425) 339-5215
Entity
Organization

Contact information

Practice address
3020 RUCKER AVE, SUITE 308, EVERETT, WA 98201-3900
(425) 339-5215
(425) 339-5263
Mailing address
3020 RUCKER AVE, SUITE 308, EVERETT, WA 98201-3900
(425) 339-5215
(425) 339-5263

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7901564
WA
Enumeration date
05/28/2009
Last updated
05/28/2009
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