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TULALIP TRIBES OF WASHINGTON NPI 1770531501


NPI Information

NPI: 1770531501
Provider Name: TULALIP TRIBES OF WASHINGTON

Doing Business As: TULALIP TRIBES HEALTH CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
7520 TOTEM BEACH RD
TULALIP, WA
ZIP 98271
Phone: (360) 651-4511
Get Directions

TULALIP TRIBES OF WASHINGTON is a general practice in Tulalip, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TULALIP TRIBES OF WASHINGTON NPI is 1770531501. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tulalip Tribes Health Clinic.

The provider's business location address is:

7520 TOTEM BEACH RD
TULALIP, WA
ZIP 98271
Phone: (360) 651-4511
Fax: (360) 716-5789

The provider's authorized official is Miku Sodhi .
The authorized official title is Chief Administrator and has the following contact phone number (360) 716-4511.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 11/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2225100000XPhysical TherapistNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4261QR1300XClinic/CenterRural HealthNo
5208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11018537MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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