| NPI | 1427171628 |
|---|---|
| Other Name | QUINAULT INDIAN NATION |
| Entity Type | Organization |
| Authorized Contact | MARIAH YVONNE RALSTON Billing Manager 360-276-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: WA FEDERAL) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-03-07 |