Swinomish Indian Tribal Community

NPI #1164483285 in La Conner, Washington

Provider Information

NPI Number: 1164483285
Entity Type: Organization
Organization Name: Swinomish Indian Tribal Community
Primary Specialty: Clinic/Center
Enumeration Date: Mar 29, 2006
Last Updated: Oct 5, 2011

Practice Location

Address: 17400 RESERVATION RD
City: La Conner
State: Washington
ZIP Code: 98257-8801
Phone: (360) 466-3167

Authorized Official

Name: MRS. RHONDA NELSON, D.P.M
Title: CLINICAL APPLICATIONS COORDINATOR
Phone: (360) 466-3167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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