# QUINAULT INDIAN NATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quinault Community Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952131757
- **Authorized official:** JASON GALE HALSTEAD (COO)
- **Authorized official phone:** (564) 544-1930

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2024
- **Last updated:** 09/25/2025
