Healthcare Provider Details

I. General information

NPI: 1710091145
Provider Name (Legal Business Name): OKANOGAN COUNTY PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 2ND AVE S
OKANOGAN WA
98840-9723
US

IV. Provider business mailing address

PO BOX 231 1234 S 2ND AVE
OKANOGAN WA
98840-0231
US

V. Phone/Fax

Practice location:
  • Phone: 509-422-7140
  • Fax: 509-422-7142
Mailing address:
  • Phone: 509-422-7140
  • Fax: 509-422-7142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateWA

VIII. Authorized Official

Name: ELLA ROBBINS
Title or Position: ADMINISTRATOR COORDINATOR
Credential:
Phone: 509-422-7140