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Organization

NORTH OLYMPIC HEALTHCARE NETWORK

Active
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Organization

NORTH OLYMPIC HEALTHCARE NETWORK

Active
Parent organization
NORTH OLYMPIC HEALTHCARE NETWORK
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH OLYMPIC HEALTHCARE NETWORK
Authorized official
MICHAEL S MAXWELL MD (CEO)
(360) 452-7891
Entity
Organization

Contact information

Practice address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-7891
Mailing address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2046838
WA
05
2114921
WA
Enumeration date
02/12/2018
Last updated
11/15/2023
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