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N. 561 Tribal Center Rd Skokomish Nation WA 98584-7416 | |
(360) 426-7788 | |
(360) 462-0082 |
Full Name | |
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Speciality | Family Medicine - Adolescent Medicine |
Location | N. 561 Tribal Center Rd, Skokomish Nation, Washington |
Authorized Official Name and Position | Maylnn Foster (OFFICE MANAGER) |
Authorized Official Contact | 3604267788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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N. 561 Tribal Center Rd Skokomish Nation WA 98584-7416 Ph: (360) 426-7788 | N. 561 Tribal Center Rd Skokomish Nation WA 98584-7416 Ph: (360) 426-7788 |
NPI Number | 1073715272 |
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Provider Enumeration Date | 06/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1073715272 | NPI | - | NPPES |
1980796 | Medicaid | WA |