Provider Demographics
NPI:1942676564
Name:WASHINGTON INSTITUTE OF NATURAL SCIENCES
Entity Type:Organization
Organization Name:WASHINGTON INSTITUTE OF NATURAL SCIENCES
Other - Org Name:W.I.N.S. INTEGRATED MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-370-7380
Mailing Address - Street 1:685 SPRING ST # 158
Mailing Address - Street 2:
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250-8058
Mailing Address - Country:US
Mailing Address - Phone:360-370-7380
Mailing Address - Fax:866-651-0544
Practice Address - Street 1:321 PRICE ST
Practice Address - Street 2:
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250-9606
Practice Address - Country:US
Practice Address - Phone:360-370-7380
Practice Address - Fax:866-651-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health