Organization
LUMMI INDIAN BUSINESS COUNCIL
Active
Other names
YESS Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI E VISSER (MEDICAID BILLER)
(360) 384-2330
Entity
Organization
Contact information
Practice address
2530 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-2330
(360) 384-3218
Mailing address
2530 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-2330
(360) 384-3218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7132160
—
WA
Enumeration date
04/09/2007
Last updated
08/22/2020
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