Organization
PENINSULA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDY A SISK (EXECUTIVE DIRECTOR)
(360) 457-0431
Entity
Organization
Contact information
Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
(360) 457-0493
Mailing address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
(360) 457-0493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980606
—
WA
05
—
7130883
—
WA
05
—
9647298
—
WA
Enumeration date
02/27/2007
Last updated
03/17/2021
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