Organization
YAKAMA NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANN DREWS ARNP (PROGRAM MANAGER)
(509) 865-7961
Entity
Organization
Contact information
Practice address
171 WISHPOOSH ROAD #28, TOPPENISH, WA 98948
(509) 865-7961
(509) 865-2195
Mailing address
PO BOX 151, TOPPENISH, WA 98948
(509) 865-7961
(509) 865-2195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AP60123614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981265
—
WA
Enumeration date
02/11/2010
Last updated
02/11/2010
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