| Upper Skagit Tribal Cd Clinic | |
|
25959 Community Plaza Way Sedro Woolley WA 98284-9721 | |
| (360) 854-7070 | |
| (360) 854-7060 |
| Full Name | Upper Skagit Tribal Cd Clinic |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 25959 Community Plaza Way, Sedro Woolley, Washington |
| Authorized Official Name and Position | Marilyn M Scott (DIRECTOR OF HEALTH & SOCIAL SERVICE) |
| Authorized Official Contact | 3608547065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Skagit Tribal Cd Clinic 25944 Community Plaza Way Sedro Woolley WA 98284-9721 Ph: (360) 854-7070 | Upper Skagit Tribal Cd Clinic 25959 Community Plaza Way Sedro Woolley WA 98284-9721 Ph: (360) 854-7070 |
| NPI Number | 1285895284 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285895284 | NPI | - | NPPES |
| 1995281 | Medicaid | WA | |
| UP5781 | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00001654 (Washington) | Primary |
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