NPI 1043873722

Snoqualmie Indian Tribe

Organisation Public Health & General Preventive Medicine Physician Snoqualmie, WA

Practice location

Address: 9575 Ethan Wade Way SE, Snoqualmie, WA 98065-9577
Phone: (425) 831-5425
Fax: (425) 831-5428
Mailing address: PO Box 969 Attn Compliance Manager, Snoqualmie, WA 98065-0969

Authorised official

Name: Jean Medina
Title: Compliance Manager
Phone: (425) 831-5425

Registered specialties (3)

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in Washington →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Washington →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI: 1043873722
Entity type: Organization
NPI issued: 17 Apr 2019
Record last updated: 25 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.