OrganizationActive
Snoqualmie Indian Tribe
NPI 1043873722 · Public Health & General Preventive Medicine Physician · Snoqualmie, WA
Provider details
- NPI number
- 1043873722
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jean Medina, Compliance Manager
Practice location
9575 Ethan Wade Way Se
Snoqualmie, WA 98065-9577
Phone: (425) 831-5425
Fax: (425) 831-5428
Mailing address
Po Box 969
Snoqualmie, WA 98065-0969
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2022-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.