=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750213658
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2026
-----------------------------------------------------
Last Update Date | 06/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9631 269TH ST NW
-----------------------------------------------------
City | STANWOOD
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98292-8071
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-629-1600
-----------------------------------------------------
Fax | 360-814-1644
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 103510
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91189-3510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-814-7575
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | TAMARA L CESENA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 360-445-8512
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------