Organization
CASCADE HEALTH SERVICES PLLC
Active
Other names
Kala Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE FOUNTAIN (CLINIC OPERATIONS MANAGER)
(360) 344-8166
Entity
Organization
Contact information
Practice address
32 KALA SQUARE PL, PORT TOWNSEND, WA 98368-9804
(360) 344-8166
(360) 379-6518
Mailing address
32 KALA SQUARE PL, PORT TOWNSEND, WA 98368-9804
(360) 344-8166
(360) 379-6518
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045741
—
WA
Enumeration date
01/11/2017
Last updated
01/11/2017
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