Organization
CONFEDERATED TRIBES & BANDS OF THE YAKAMA NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN M SWAN (PROGRAM MANAGER)
(509) 874-2979
Entity
Organization
Contact information
Practice address
80 BIRDSONG LANE, WHITE SWAN, WA 98952
(509) 874-2979
(509) 874-2113
Mailing address
80 BIRDSONG LANE, WHITE SWAN, WA 98952
(509) 874-2979
(509) 874-2113
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
252-11-2016
WA
363A00000X
Physician Assistant
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086150
—
WA
Enumeration date
05/07/2007
Last updated
07/14/2009
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