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
- City
- Kingston
- State
- Washington
- 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 | |
| Peninsula Community Health Services | |
| Port Gamble S'klallam Tribe | |
| Healthpoint | |
| Healthpoint |
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