Quil Ceda Creek Counseling Company | |
6330 31st Ave Ne Ste 101 Tulalip WA 98271-7423 | |
(360) 716-2200 | |
Not Available |
Full Name | Quil Ceda Creek Counseling Company |
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Speciality | General Practice |
Location | 6330 31st Ave Ne Ste 101, Tulalip, Washington |
Authorized Official Name and Position | Tanya Burns (ADMINISTRATOR) |
Authorized Official Contact | 3605023117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quil Ceda Creek Counseling Company 6330 31st Ave Ne Ste 101 Tulalip WA 98271-7423 Ph: (360) 716-2200 | Quil Ceda Creek Counseling Company 6330 31st Ave Ne Ste 101 Tulalip WA 98271-7423 Ph: (360) 716-2200 |
NPI Number | 1578272712 |
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Provider Enumeration Date | 11/16/2022 |
Last Update Date | 02/09/2023 |
Medicare PECOS PAC ID | 0547627291 |
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Medicare Enrollment ID | O20230612001114 |
Identifier | Type | State | Issuer |
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1578272712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Larri A Mishko |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255343166 PECOS PAC ID: 4789601170 Enrollment ID: I20051025000692 |
Provider Name | Alessa L Lopez-castor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285661744 PECOS PAC ID: 3971513375 Enrollment ID: I20140703001586 |
Provider Name | Rebecca Epperson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710396387 PECOS PAC ID: 5294956991 Enrollment ID: I20141022000721 |
Provider Name | Angelo R Williams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164962312 PECOS PAC ID: 8729315239 Enrollment ID: I20230323002299 |
Provider Name | Catherine Margaret Heath |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740358407 PECOS PAC ID: 0749632859 Enrollment ID: I20240113000568 |
Eric R Shibley Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 Meridian Ave N Unit 6, Tulalip, WA 98271 Phone: 615-554-6485 Fax: 360-658-2587 | |
Tulalip Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7520 Totem Beach Rd, Tulalip, WA 98271 Phone: 360-651-4511 Fax: 360-651-9451 | |
Tulalip Tribes Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7520 Totem Beach Rd, Tulalip, WA 98271 Phone: 360-651-4511 Fax: 360-651-9451 |