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Organization

GRAYS HARBOR COUNTY

Active
Other names
Grays Harbor County Jail Medical
Organization subpart
No

Provider details

NPI number
Authorized official
VICKIE RAINES (GRAYS HARBOR COUNTY COMMISSIONER)
(360) 249-3711
Entity
Organization

Contact information

Practice address
100 W. BROADWAY AVENUE, SUITE 3, MONTESANO, WA 98563
(360) 249-3711
(360) 249-3722
Mailing address
100 W. BROADWAY AVENUE, SUITE 3, MONTESANO, WA 98563
(360) 249-3711
(360) 249-3722

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
01/28/2025
Last updated
01/28/2025
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