Organization
FAMILY PRACTICE CENTER OF GRAYS HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET K JULL (OFFICE MANAGER)
(360) 538-1609
Entity
Organization
Contact information
Practice address
815 K ST, HOQUIAM, WA 98550-3705
(360) 538-1609
(360) 533-7107
Mailing address
815 K ST, HOQUIAM, WA 98550-3705
(360) 538-1609
(360) 533-7107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7041270
—
WA
Enumeration date
10/11/2006
Last updated
08/22/2020
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