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

Suquamish Tribal

Organization Registered Dietitian · NPI 1114674942

Suquamish Tribal is a Registered Dietitian in Suquamish, Washington. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
8

Practice location Address checks out

6968 NE Enetai Ln
Suquamish, WA 98392-0498
Phone: (360) 394-8552
Fax: (360) 598-2783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Registered Dietitian Taxonomy 133V00000X
Registered Nurse Taxonomy 163W00000X
Community Health Registered Nurse Taxonomy 163WC1500X
Licensed Practical Nurse Taxonomy 164W00000X
Acupuncturist Taxonomy 171100000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Naturopath Taxonomy 175F00000X

Record details

NPI number1114674942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Kutz — Health Clinic Director · (360) 394-1350
Other names Suquamish Medical Clinic
NPI enumeratedMarch 2, 2022
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address6968 Ne Enetai Lane, Suquamish, WA 98392

Other providers in Suquamish