NPI 1114135779

Squaxin Island Medicaid Encounter

Organisation Clinic/Center Shelton, WA

Practice location

Address: 90 SE Klah Che Min Dr, Shelton, WA 98584-9216
Phone: (360) 427-9006

Authorised official

Name: Whitney Jones
Title: Director
Phone: (360) 427-9006

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Washington →

Registry record

NPI: 1114135779
Entity type: Organization
NPI issued: 18 May 2007
Record last updated: 22 Aug 2020

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.