NPI 1467440602
Department of Social Dept of Shs Div of Instns
Practice location
- Address
- 850 Maple St, Medical Lake, WA 99022-0800
- Phone
- (509) 565-4000
- Fax
- (509) 565-4705
- Mailing address
- PO Box 800 850 Maple St, Medical Lake, WA 99022-0800
Authorised official
- Name
- Jessica Helene Graham
- Title
- Director, Revenue Cycle
- Phone
- (509) 565-4131
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1467440602
- Entity type
- Organization
- NPI issued
- 12 Oct 2005
- Record last updated
- 10 Mar 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.