Organization
UNITED COMMUNITIES AIDS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LOOSEN (EXECUTIVE DIRECTOR)
(360) 352-2375
Entity
Organization
Contact information
Practice address
317 4TH AVE E STE B, OLYMPIA, WA 98501-1117
(360) 352-2375
(360) 352-1494
Mailing address
317 4TH AVE E STE B, OLYMPIA, WA 98501-1117
(360) 352-2375
(360) 352-1494
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
601019612
WA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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