Port Gamble S'klallam Tribe

NPI #1518585579 in Kingston, Washington

Provider Information

NPI Number
1518585579
Entity Type
Organization
Organization Name
Port Gamble S'klallam Tribe
Subpart
Yes (part of a larger organization)
Parent Organization
PORT GAMBLE S'KLALLAM TRIBE
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 7, 2020
Last Updated
Jul 7, 2020

Practice Location

Address
32014 LITTLE BOSTON RD NE
ZIP Code
98346-9734
Phone
(360) 297-9614

Authorized Official

Name
KERSTIN M POWELL
Title
HEALTH SERVICES BUSINESS MANAGER
Phone
(360) 297-9649

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

Similar Providers

Provider Name
Peninsula Community Health Services

Part of Peninsula Community Health Services

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