Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Squaxin Island Medicaid Encounter

Organization Clinic/Center · NPI 1114135779

Squaxin Island Medicaid Encounter is a Clinic/Center in Shelton, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

90 SE Klah Che Min Dr
Shelton, WA 98584-9216
Phone: (360) 427-9006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (WA)

Record details

NPI number1114135779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Whitney Jones — Director · (360) 427-9006
Other names Squaxin Island Tribe
NPI enumeratedMay 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address90 Se Klah Che Min Dr, Shelton, WA 98584-9216

Other providers in Shelton