Organization
FRONT STREET CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA A POPACH MANAGER (OFFICE MANAGER)
(360) 697-1141
Entity
Organization
Contact information
Practice address
20174 FRONT ST NE, POULSBO, WA 98370-7445
(360) 697-1141
(360) 697-2395
Mailing address
PO BOX 1611, POULSBO, WA 98370-0197
(360) 697-1141
(360) 697-2395
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00000965
WA
Other
Enumeration date
11/26/2007
Last updated
06/25/2025
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