SQUAXIN ISLAND MEDICAID ENCOUNTER

Clinic/Center

Active Organization
NPI: 1114135779

Practice Address

90 SE KLAH CHE MIN DR
Shelton, WA 98584

Phone: (360) 427-9006

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1114135779 is the National Provider Identifier for SQUAXIN ISLAND MEDICAID ENCOUNTER, a Clinic/Center provider located in Shelton, WA. This NPI was enumerated on May 18, 2007.

Quick Facts

NPI
1114135779
Type
Organization
Enumerated
May 18, 2007
Last Updated
Aug 22, 2020

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