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SQUAXIN ISLAND TRIBE
NPI 1912112244
Clinic/Center - Rehabilitation, Substance Use Disorder in Shelton, WA

Active since May 11, 2007
90 SE KLAH CHE MIN DR, SHELTON, WA 98584(360) 427-9006(360) 427-1951 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Squaxin Island Tribe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SQUAXIN ISLAND TRIBE (NPI 1912112244) is a healthcare organization registered as a rehabilitation, substance use disorder in Shelton, Washington and active in the NPI registry since May 2007. The organization lists Whitney Jones, Director, as its authorized official.

NPPES Registry Identity

NPI1912112244
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSQUAXIN ISLAND CHEMICAL DEPENDENCY ENCOUNTER
Location Address90 SE KLAH CHE MIN DRShelton, WA 98584-9216
Mailing Address90 Se Klah Che Min DrShelton, WA 98584-9216 · (360) 427-9006 · Fax (360) 427-1951
Phone(360) 427-9006
Fax(360) 427-1951
Organization SubpartNo
Authorized OfficialWhitney JonesDirector · (360) 427-9006
Enumeration DateMay 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912112244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
90 SE KLAH CHE MIN DR, Shelton, WA 98584
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Other Names 1

Other NameSquaxin Island Tribe

Other Identifiers 1

Medicaid1990696WA

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MS. PAMELA LYNN PETERS RN
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
NISSAN ARMAS PA-C
Physician Assistant
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
SQUAXIN ISLAND MEDICAID ENCOUNTER
Clinic/Center
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MISS SUSAN ROWSON MA
Counselor
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3896
BRENDA DORSEY MSW, LMHC
Counselor (Mental Health)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3921
SQUAXIN ISLAND DENTAL CLINIC FFS
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
JONATHAN CORBIN WILTON M.D.
Family Medicine
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Squaxin Island Chemical Dependency Encounter's NPI number?

The NPI number for Squaxin Island Chemical Dependency Encounter is 1912112244. It was assigned to this organization in the NPPES registry on May 11, 2007. The provider is also known as Squaxin Island Tribe.

Where is Squaxin Island Chemical Dependency Encounter located?

Squaxin Island Chemical Dependency Encounter is located at 90 SE Klah Che Min Dr, Shelton, WA 98584. The listed phone number is (360) 427-9006.

What is Squaxin Island Chemical Dependency Encounter's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Squaxin Island Chemical Dependency Encounter was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.