Organization
SQUAXIN ISLAND MEDICAL ENCOUNTER
Active
Other names
Squaxin Island Tribe
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY JONES (DIRECTOR)
(360) 427-9006
Entity
Organization
Contact information
Practice address
90 SE KLAH CHE MIN DR, SHELTON, WA 98584-9216
(360) 427-9006
Mailing address
90 SE KLAH CHE MIN DR, SHELTON, WA 98584-9216
(360) 427-9006
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7047772
—
ND
Enumeration date
05/18/2007
Last updated
08/22/2020
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