Organization
QUINAULT INDIAN NATION
Active
Other names
ROGER SAUX HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH YVONNE RALSTON (OFFICE MANAGER)
(360) 276-4405
Entity
Organization
Contact information
Practice address
1505 KLA-OOK-WA DRIVE, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4602
Mailing address
PO BOX 219, 1505 KLA-OOK-WA DR., TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4602
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7082191
—
WA
Enumeration date
11/15/2006
Last updated
05/27/2008
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