Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Other names
Speech and Language Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY CHURCH CRCR (REVENUE CYCLE MANAGER)
(509) 634-2783
Entity
Organization
Contact information
Practice address
21 COLVILLE STREET, NESPELEM, WA 99155-0150
(509) 634-2783
(509) 634-2781
Mailing address
21 COLVILLE STREET, NESPELEM, WA 99155-0150
(509) 634-2783
(509) 634-2781
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
7119928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7119928
—
WA
Enumeration date
04/27/2007
Last updated
04/02/2026
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