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General NPI Number Information
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NPI Number | 1609068170
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Entity Type | Organization
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Legal Business Name | SOPHIE TRETTEVICK INDIAN HEALTH CENTER
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 100 WELLNESS WAY
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City | NEAH BAY
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State | WA
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Zip | 98357
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Country | US
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Telephone | 360-645-2075
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Fax | 360-645-3343
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Provider Business Mailing Address
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Address Line | PO BOX 410 100 WELLNESS WAY
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City | NEAH BAY
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State | WA
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Zip | 98357
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Country | US
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Telephone | 360-645-2075
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Fax | 360-645-3343
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MRS. MICHELLE HITCHINS
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Credential |
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Telephone | 360-645-2536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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