# QUINAULT INDIAN NATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** QUINAULT INDIAN NATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659209633
- **Legal business name:** QUINAULT INDIAN NATION
- **Authorized official:** RUBY P SAUNDERS-JEREMIAH (BILLING CODING SUPERVISOR)
- **Authorized official phone:** (564) 544-1950

## Contact information

- **Practice address:** 1020 ANDERSON DR STE 203, ABERDEEN, WA 98520-1055
- **Practice address phone:** (360) 533-6063
- **Practice address fax:** (564) 544-1938
- **Mailing address:** 421 W STATE ST, ABERDEEN, WA 98520-6129
- **Mailing address phone:** (564) 544-1950
- **Mailing address fax:** (564) 544-1938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2026
- **Last updated:** 05/11/2026