SNOQUALMIE INDIAN TRIBE
Ambulatory Health at Boalch Ave, North Bend, WA

License number
Washington CO 60131050
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: MS. DIANE F FORGEY
Title: PROGRAM MANAGER
Phone: (425) 831-5425
Address
Address
1308 Boalch Ave NW, North Bend, WA 98045
National Provider ID: 1518276419
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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