Organization
JAMESTOWN S'KLALLAM TRIBE
Active
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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