Organization
JAMESTOWN S'KLALLAM TRIBE
Active
Organization
JAMESTOWN S'KLALLAM TRIBE
Active
Other names
Jamestown Healing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
W. RON ALLEN (TRIBAL CHAIRMAN/EXECUTIVE DIRECTOR)
(360) 683-1109
Entity
Organization
Contact information
Practice address
526 S 9TH AVE, SEQUIM, WA 98382-3626
(360) 681-7755
(360) 681-5999
Mailing address
526 S 9TH AVE, SEQUIM, WA 98382-3626
(360) 681-7755
(360) 681-5999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991355
—
WA
Enumeration date
11/01/2006
Last updated
11/11/2024
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