Jamestown S'klallam Tribe

NPI #1477630507 in Sequim, Washington

Provider Information

NPI Number: 1477630507
Entity Type: Organization
Organization Name: Jamestown S'klallam Tribe
Primary Specialty: Dentist
Enumeration Date: Nov 1, 2006
Last Updated: Dec 29, 2021

Practice Location

Address: 1033 OLD BLYN HWY
City: Sequim
State: Washington
ZIP Code: 98382-7670
Phone: (360) 683-1109

Authorized Official

Name: W. RON ALLEN
Title: TRIBAL CHAIRMAN/EXECUTIVE DIRECTOR
Phone: (360) 683-1109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Public Health, Federal — Public Health, Federal	261QP0904X
Dentist	122300000X	Primary

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