Organization
QUINAULT INDIAN NATION
Active
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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