Snoqualmie Indian Tribe
Snoqualmie Indian Tribe is a Public Health & General Preventive Medicine Physician in Snoqualmie, Washington. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
9575 Ethan Wade Way SESnoqualmie, WA 98065-9577
Phone: (425) 831-5425
Fax: (425) 831-5428
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health & General Preventive Medicine Physician (primary) | Taxonomy 2083P0901X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1043873722 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jean Medina — Compliance Manager · (425) 831-5425 |
| NPI enumerated | April 17, 2019 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
| Mailing address | Po Box 969, Attn Compliance Manager, Snoqualmie, WA 98065-0969 |