NPI: 1689709172
Provider Name: PUYALLUP TRIBAL HEALTH AUTHORITY
Doing Business As: PUYALLUP TRIBAL HEALTH AUTHORITY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 50D0670036
Address:
2209 E 32ND ST
TACOMA, WA
ZIP 98404
Phone: (253) 593-0232
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PUYALLUP TRIBAL HEALTH AUTHORITY is a rehabilitation and substance use disorder clinic center in Tacoma, WA. PUYALLUP TRIBAL HEALTH AUTHORITY NPI is 1689709172. The provider is registered as an organization entity type.
The provider Is Doing Business As Puyallup Tribal Health Authority.
The provider's business location address is:
2209 E 32ND ST
TACOMA, WA
ZIP 98404
Phone: (253) 593-0232
Fax: (253) 382-2091
The provider's authorized official is Chris Henry .
The authorized official title is Executive Director and has the following contact phone number (253) 593-0232.
The CLIA number assigned to this NPI record is 50D0670036 - other with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/13/2018.