NPI Code Details Logo

NPI 1942676564

NPI 1942676564 : WASHINGTON INSTITUTE OF NATURAL SCIENCES : FRIDAY HARBOR, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1942676564
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WASHINGTON INSTITUTE OF NATURAL SCIENCES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/18/2015
-----------------------------------------------------
    Last Update Date     |    08/18/2015
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    321 PRICE ST 
-----------------------------------------------------
    City                 |    FRIDAY HARBOR
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98250-9606
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    360-370-7380
-----------------------------------------------------
    Fax                  |    866-651-0544
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    685 SPRING ST # 158 
-----------------------------------------------------
    City                 |    FRIDAY HARBOR
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98250-8058
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    360-370-7380
-----------------------------------------------------
    Fax                  |    866-651-0544
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     VINCENT W. SHU 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    360-370-7380
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.