Organization
SWINOMISH INDIAN TRIBAL COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL RASAR (MEDICAL BILLER)
(360) 466-7268
Entity
Organization
Contact information
Practice address
17400 RESERVATION RD, LA CONNER, WA 98257-8801
(360) 466-3167
(360) 466-5528
Mailing address
PO BOX 683, LA CONNER, WA 98257-0683
(360) 466-3167
(360) 466-5528
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7215205
—
WA
Enumeration date
08/07/2007
Last updated
08/19/2009
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