| Nisqually Tribe | |
|
4816 She Nah Num Dr Se Olympia WA 98513-9105 | |
| (360) 459-5312 | |
| (360) 407-0860 |
| Full Name | Nisqually Tribe |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4816 She Nah Num Dr Se, Olympia, Washington |
| Authorized Official Name and Position | Rena Wells (HEALTH DIRECTOR) |
| Authorized Official Contact | 3604595312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisqually Tribe 4816 She Nah Num Dr Se Olympia WA 98513-9105 Ph: (360) 459-5312 | Nisqually Tribe 4816 She Nah Num Dr Se Olympia WA 98513-9105 Ph: (360) 459-5312 |
| NPI Number | 1558553008 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558553008 | NPI | - | NPPES |
| 1980887 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Washington) | Primary |
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