Nisqually Tribe

NPI #1467644914 in Olympia, Washington

Provider Information

NPI Number: 1467644914
Entity Type: Organization
Organization Name: Nisqually Tribe
Primary Specialty: Clinic/Center
Enumeration Date: Aug 17, 2007
Last Updated: Aug 17, 2007

Practice Location

Address: 4816 SHE NAH NUM DR SE
City: Olympia
State: Washington
ZIP Code: 98513-9105
Phone: (360) 459-5312

Authorized Official

Name: MS. RENA WELLS
Title: HEALTH DIRECTOR
Phone: (360) 459-5312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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