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Organization
CLALLAM COUNTY JAIL MEDICAL
Active
Organization
CLALLAM COUNTY JAIL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E PETERSON (FISCAL SPECIALIST)
(360) 417-2592
Entity
Organization
Contact information
Practice address
223 E 4TH ST, SUITE 12, PORT ANGELES, WA 98362-3000
(360) 417-2592
Mailing address
223 E 4TH ST, SUITE 12, PORT ANGELES, WA 98362-3000
(360) 417-2592
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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