OrganizationActive
Chinook Enterprises
NPI 1174021794 · Developmentally Disabled Services Day Training Agency · Mount Vernon, WA
Provider details
- NPI number
- 1174021794
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Robert Martin, Ceo(360) 428-0140
Specialties & taxonomies
Agencies
Practice location
2026 N Laventure Rd
Mount Vernon, WA 98273-5807
Phone: (360) 428-0140
Fax: (360) 428-1616
Approximate (ZIP-level) locationGet directions
Mailing address
2026 N Laventure Rd
Mount Vernon, WA 98273-5807
Registry dates
- Enumerated
- 2018-01-29
- Last updated
- 2018-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.