Cowlitz Indiantribe

NPI 1164729612 - Clinic/Center - 261QH0100X

NPI Details
NPI 1164729612
Enumeration Date 02/18/2011
Last Updated 09/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name REBECCA A REBECCA
Position BILLING ADMINISTRATOR
Phone (360) 575-8275
Fax
Practice Location
3801 W GOVERNMENT WAY
SEATTLE WA, 98199-1014, US
Phone (360) 575-8275
Fax
Business Location
PO BOX 2429
LONGVIEW WA, 98632-8486, US
Phone (360) 575-8275
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
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According to our database, Cowlitz Indiantribe NPI is 1164729612, taxonomy code is 261QH0100X Cowlitz Indiantribe physically located at 3801 W Government Way, Seattle WA, 98199-1014. NPI Number 1033115704 has the healthcare provider type.

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1164729612 NPI number is provided on an as is basis without warranty of any kind. 1164729612 is maintained by the National Plan & Provider Enumeration System. The contents of Cowlitz Indiantribe are for informational purposes only.