NPI 1093120743

Washington State Department of Health

Organisation Public Health or Welfare Agency Tumwater, WA

Practice location

Address: 310 Israel Rd SE, Tumwater, WA 98501-5567
Phone: (360) 236-3479
Fax: (360) 664-2216
Mailing address: PO Box 47841, Olympia, WA 98504-7841

Authorised official

Name: Jennifer Tebaldi
Title: Assistant Secretary
Phone: (360) 236-4204

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1093120743
Entity type: Organization
NPI issued: 20 Jun 2014
Record last updated: 20 Jun 2014

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.