Organization
LOWER ELWHA KLALLAM TRIBE
Active
Other names
Lower Elwha Klallam Tribe Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES G CHARLES (CHAIRWOMAN)
(360) 452-8471
Entity
Organization
Contact information
Practice address
243511 W HIGHWAY 101, PORT ANGELES, WA 98363-9472
(360) 452-6252
(360) 452-6274
Mailing address
243511 W HIGHWAY 101, PORT ANGELES, WA 98363-9472
(360) 452-6252
(360) 452-6274
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-1835
PTAN
WA
Enumeration date
03/21/2007
Last updated
03/17/2022
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