Organization
SAMISH INDIAN NATION
Active
Organization
SAMISH INDIAN NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WOOTEN (TRIBAL CHAIR)
(360) 293-6404
Entity
Organization
Contact information
Practice address
2918 COMMERCIAL AVE, ANACORTES, WA 98221-2738
(360) 293-6404
Mailing address
2918 COMMERCIAL AVE, ANACORTES, WA 98221-2738
(360) 293-6404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
29140100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1987123680
—
WA
Enumeration date
05/16/2008
Last updated
05/16/2008
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