Organization · Type 2 NPI
Kalispel Indian Community of the Kalispel Reservation Washington
General Practice Physician · Cusick, WA
NPI number
1396937769
Active
Practice location
1821 Leclerc Rd N
Cusick, WA 99119-9682
Mailing address
PO Box 67
Cusick, WA 99119-0067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
About NPI 1396937769
Kalispel Indian Community of the Kalispel Reservation Washington's National Provider Identifier is 1396937769, issued on Aug 9, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Cusick, WA. The record was last updated on Dec 16, 2025.