# SUQUAMISH TRIBAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kitsap OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811878085
- **Authorized official:** REBECCA ANN JONES (CREDENTIALING MANAGER)
- **Authorized official phone:** (360) 394-1423

## Contact information

- **Practice address:** 9750 LEVIN RD NW, SILVERDALE, WA 98383-8399
- **Practice address phone:** (360) 698-3437
- **Practice address fax:** (360) 698-6600
- **Mailing address:** PO BOX 1228, SUQUAMISH, WA 98392-1228
- **Mailing address phone:** (360) 394-5200
- **Mailing address fax:** (360) 598-1724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 09/11/2025
- **Last updated:** 10/09/2026