Organization
MUCKLESHOOT INDIAN TRIBE
Active
Parent organization
MUCKLESHOOT INDIAN TRIBE
Other names
Muckleshoot Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUCKLESHOOT INDIAN TRIBE
Authorized official
MS. KATHLEEN GOODWIN-SNYDER (HEALTH MANAGER)
(253) 939-6648
Entity
Organization
Contact information
Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 939-6648
(253) 887-8737
Mailing address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 939-6648
(253) 887-8737
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Enumeration date
11/01/2006
Last updated
01/11/2017
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