Organization
SKOKOMISH TRIBAL COUNCIL
Active
Other names
SKOKOMISH TRIBE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES LONGSHORE (BUSINESS OFFICE MANAGER)
(360) 426-5755
Entity
Organization
Contact information
Practice address
100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-9748
(360) 426-5755
(360) 877-2032
Mailing address
100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-9748
(360) 426-5755
(360) 877-2032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007457
—
WA
05
—
5021258
—
WA
05
—
5400072
—
WA
Enumeration date
11/24/2008
Last updated
06/18/2010
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