Healthcare Provider Details

I. General information

NPI: 1326902263
Provider Name (Legal Business Name): SEATTLE INDIAN HEALTH BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15333 VASHON HWY SW
VASHON WA
98070-3831
US

IV. Provider business mailing address

15333 VASHON HWY SW
VASHON WA
98070-3831
US

V. Phone/Fax

Practice location:
  • Phone: 206-324-9360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ANGELA LAFONTAINE
Title or Position: REVENUE CYCLE MANAGER
Credential: CPC
Phone: 206-324-4036