Organization
SHOALWATER BAY WELLNESS CENTER
Active
Other names
Shoalwater Bay Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. F SCOTT POWELL DC. (HEALTH DIRECTOR)
(360) 267-8130
Entity
Organization
Contact information
Practice address
2373 TOKELAND ROAD BUILDING. E, TOKELAND, WA 98590-0500
(360) 267-0119
(360) 267-0417
Mailing address
PO BOX 500, TOKELAND, WA 98590-0500
(360) 267-0119
(360) 267-0417
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
261QR0405X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00005324
CDP
WA
Enumeration date
07/01/2011
Last updated
07/01/2011
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