Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Snoqualmie Indian Tribe

Public Health & General Preventive Medicine Physician in Snoqualmie, WA · enumerated 2019 · authorized official Jean Medina, Compliance Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043873722

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Registry record

Entity type Organization (Type 2)

Legal business name Snoqualmie Indian Tribe

Practice address 9575 Ethan Wade Way Se, Snoqualmie, WA, 98065

Phone (425) 831-5425

Fax (425) 831-5428

Enumeration date Apr 17, 2019

Last updated in NPPES Jul 25, 2022

Taxonomy & classification

2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Primary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jean Medina

Title Compliance Manager

Phone (425) 831-5425

Other identifiers

Identifier	Type	State	Issuer
2137735	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Snoqualmie Indian Tribe located?

The practice location on file with NPPES is in Snoqualmie, WA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-25.