Organization
CLALLAM COUNTY FIRE PROT DIST 4
Active
Organization
CLALLAM COUNTY FIRE PROT DIST 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY THOMAS WATERS (FIRE CHIEF)
(360) 928-3132
Entity
Organization
Contact information
Practice address
51250 HIGHWAY 112, PORT ANGELES, WA 98363-8766
(360) 928-3132
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7020
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05D04
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213981
LABOR & INDUSTRIES
WA
01
—
4590CL
REGENCE
WA
01
—
8942804
CRIME VICTIMS
WA
05
—
9058967
—
WA
Enumeration date
06/20/2006
Last updated
06/12/2023
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