Stillaguamish Tribal Health Clinic
General Practice Physician in Arlington, WA(View on Map)
Legal Business Name
Stillaguamish Tribal Health Clinic
NPI Number
1164451142
NPI Type
Organization
Enumeration Date
07/01/2006
Specialties
(Taxonomies)Code
208D00000X
261QC1500X
261QP2300X
Primary Taxonomy
Yes
No
No
Licenses
State
Washington
License Number
AP30001255
Contact
Information
Purpose
Mailing
Location
Address
24205 JAMES DORSEY WAY STE 1
24205 JAMES DORSEY WAY STE 1
City
Arlington
Arlington
State
WA
WA
Postal Code
98223-6029
98223-6029
Country
US
US
Telephone Number
(360) 435-9338
(360) 435-9338
Authorized Official
Name
Dannielle Hancock
Title or Position
ACCOUNT MANAGER
Telephone Number
(360) 631-5971
Identifiers
Identifier
8456352
9600198
2093558
Identifier State
WA
WA
WA
Identifier Issuer
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/18/2023
Provider Address
Other General Practice Physician in Arlington, Washington:
Public Hospital District #3 Snohomish County
May also be known as Cascade Valley Sleep Disorders Center
Arlington, WASpecialty: General Practice Physician (Primary)