Organization
NOOKSACK INDIAN TRIBE
Active
Parent organization
NOOKSACK INDIAN TRIBE
Other names
Nooksack Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOOKSACK INDIAN TRIBE
Authorized official
MR. RICHARD GEORGE (DIRECTOR OF HEALTH & SOCIAL SERVICE)
(360) 592-5176
Entity
Organization
Contact information
Practice address
6760 MISSION RD, EVERSON, WA 98247-9749
(360) 306-5151
Mailing address
PO BOX 157, DEMING, WA 98244-0157
(360) 592-5176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
WA
Other
Enumeration date
08/16/2007
Last updated
07/21/2022
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