Organization · Type 2 NPI

Port Gamble S'klallam Tribe

Federally Qualified Health Center (FQHC) · Kingston, WA

NPI number 1760428650 Active

Practice location

32014 Little Boston Rd NE
Kingston, WA 98346-9734

Fax (360) 297-9614

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1760428650

Port Gamble S'klallam Tribe's National Provider Identifier is 1760428650, issued on Jun 21, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kingston, WA. The record was last updated on Jan 7, 2011.