# QUINAULT INDIAN NATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quinault Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619719770
- **Authorized official:** JASON G HALSTEAD COO (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (564) 544-1930

## Contact information

- **Practice address:** 511 W HERON ST, ABERDEEN, WA 98520-6022
- **Practice address phone:** (564) 544-1950
- **Practice address fax:** (564) 544-1928
- **Mailing address:** 511 W HERON ST, ABERDEEN, WA 98520-6022
- **Mailing address phone:** (564) 544-1950
- **Mailing address fax:** (564) 544-1928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 09/11/2025