Organization
ROGER SAUX HEALTH CENTER
Active
Other names
QUINAULT INDIAN NATION
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH YVONNE RALSTON (BILLING MANAGER)
(360) 276-4405
Entity
Organization
Contact information
Practice address
1505 KLAOOKWA DRIVE, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4474
Mailing address
1505 KLA-OOK-WAH DR, TAHOLAH, WA 98587
(360) 276-4405
(360) 276-4474
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
FEDERAL
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4924963
NABP
WA
Enumeration date
04/10/2007
Last updated
03/07/2023
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