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Lower Elwha Klallam Tribe
Primary Care Clinic/Center in Port Angeles, Washington
NPI 1821114026

Lower Elwha Klallam Tribe is a Primary Care Clinic/Center based in Port Angeles, WA and is specialized in Primary Care. Lower Elwha Klallam Tribe practices in Port Angeles, WA. The NPI Number for Lower Elwha Klallam Tribe is 1821114026 and holds a License No. (Washington).

The current practice location address for Lower Elwha Klallam Tribe is 243511 W Highway 101, Port Angeles, WA and can be reached out via phone at 360-452-6252 and via fax at 360-452-6274.

Location: 243511 W Highway 101, Port Angeles, WA, 98363-9472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821114026
Provider Name
Lower Elwha Klallam Tribe
Credential
Provider Entity Type
Organization
Address
243511 W Highway 101, Port Angeles, WA, 98363-9472
Phone Number
360-452-6252
Fax Number
360-452-6274
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50-1835 01 WA PTAN
institution
Provider Business Practice Location Address Details
Address
243511 W Highway 101
City
Port Angeles
State
Washington
Zip
98363-9472
Phone Number
360-452-6252
Fax Number
360-452-6274
person
Provider Business Mailing Address Details
Address
243511 W Highway 101
City
Port Angeles
State
Washington
Zip
98363-9472
Phone Number
360-452-6252
Fax Number
360-452-6274
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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