| Organization Name: | UPPER SKAGIT INDIAN TRIBE |
| NPI Number: | 1285895284 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILYN M SCOTT (DIRECTOR OF HEALTH & SOCIAL SERVICE) |
| Mailing Address: | 25959 Community Plaza Way Sedro Woolley |
| State: | WA US |
| Postal Code: | 982849721 |
| Phone Number: | 3608547070 |
| Fax Number: | 3608547060 |
| NPI Enumeration Date: | 06/23/2008 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00001654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |