Organization
PUBLIC HOSPITAL DIST NO 1 SKAGIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ISHIZUKA (CFO)
(360) 814-5838
Entity
Organization
Contact information
Practice address
307 S 13TH ST STE 100, MOUNT VERNON, WA 98274-4100
(360) 814-2146
(360) 428-2445
Mailing address
307 S 13TH ST, SUITE 100, MOUNT VERNON, WA 98274-4100
(360) 814-2146
(360) 428-2445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H-073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014836
—
WA
Enumeration date
06/15/2006
Last updated
12/07/2017
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