Organization
JAMESTOWN S'KLALLAM TRIBE
Active
Other names
Jamestown Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RON ALLEN (EXECUTIVE DIRECTOR)
(360) 683-1109
Entity
Organization
Contact information
Practice address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Mailing address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
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
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7111768
—
WA
Enumeration date
04/03/2006
Last updated
03/10/2025
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