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Organization

KLICKITAT COUNTY

Active
Parent organization
KLICKITAT COUNTY HEALTH DEPARTMENT
Other names
Sexual Reproductive Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
KLICKITAT COUNTY HEALTH DEPARTMENT
Authorized official
ERINN QUINN RN (DIRECTOR - HEALTH DEPARTMENT & BH)
(509) 773-2366
Entity
Organization

Contact information

Practice address
115 W COURT ST, ROOM# 103, GOLDENDALE, WA 98620-8905
(509) 773-4565
(509) 773-5991
Mailing address
115 W COURT ST, MS-CH - BOX# 103, GOLDENDALE, WA 98620-8905
(509) 773-4565
(509) 773-5991

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
261QA0005X
Ambulatory Family Planning Facility
Primary
261QF0050X
Non-Surgical Family Planning Clinic/Center
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017722
WA
Enumeration date
08/17/2007
Last updated
02/02/2024
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