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Organization
ROGER SAUX HEALTH CENTER
Active
Organization
ROGER SAUX HEALTH CENTER
Active
Other names
QUINAULT INDIAN NATION
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH YVONNE RALSTON (BILLING MANAGER)
(360) 276-4405
Entity
Organization
Contact information
Practice address
1505 KLAOOKWA DRIVE, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4474
Mailing address
1505 KLA-OOK-WAH DR, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4474
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
FEDERAL
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4924963
NABP
WA
Enumeration date
04/10/2007
Last updated
03/07/2023
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