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Organization
GRAYS HARBOR COUNTY
Active
Organization
GRAYS HARBOR COUNTY
Active
Other names
Grays Harbor County Jail Medical
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE RAINES (GRAYS HARBOR COUNTY COMMISSIONER)
(360) 249-3711
Entity
Organization
Contact information
Practice address
100 W. BROADWAY AVENUE, SUITE 3, MONTESANO, WA 98563
(360) 249-3711
(360) 249-3722
Mailing address
100 W. BROADWAY AVENUE, SUITE 3, MONTESANO, WA 98563
(360) 249-3711
(360) 249-3722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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