NPI 1447462700
Shoalwater Bay Indian Tribe
Practice location
- Address
- 2373 Old Tokeland Rd, Tokeland, WA 98590
- Phone
- (360) 267-2508
- Fax
- (360) 267-1127
- Mailing address
- PO Box 500, Tokeland, WA 98590-0500
Authorised official
- Name
- Carol Johnson
- Title
- Tribal Administration
- Phone
- (360) 267-6766
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1447462700
- Entity type
- Organization
- NPI issued
- 7 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.