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Confederated Tribes of the Colville Reservation — NPI 1093679862, Keller, WA | NPI Central

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NPI 1093679862

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Confederated Tribes of the Colville Reservation

NPI 1093679862 · Clinic Pharmacy · Keller, WA

Provider details

NPI number: 1093679862
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Authorized official: Amy Church, Revenue Cycle Director

Practice location

11665 Wa Hwy 21

Keller, WA 99140-7300

Phone: (509) 634-7389

More WA providers

Mailing address

Po Box 150

Nespelem, WA 99155-0150

Registry dates

Enumerated: 2025-12-15
Last updated: 2026-06-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.