# FRONT STREET CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457532913
- **Authorized official:** OLGA A POPACH MANAGER (OFFICE MANAGER)
- **Authorized official phone:** (360) 697-1141

## Contact information

- **Practice address:** 20174 FRONT ST NE, POULSBO, WA 98370-7445
- **Practice address phone:** (360) 697-1141
- **Practice address fax:** (360) 697-2395
- **Mailing address:** PO BOX 1611, POULSBO, WA 98370-0197
- **Mailing address phone:** (360) 697-1141
- **Mailing address fax:** (360) 697-2395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00000965 | WA | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 06/25/2025