Organization
QUINAULT INDIAN NATION
Active
Other names
Quinault Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GALE HALSTEAD (COO)
(564) 544-1930
Entity
Organization
Contact information
Practice address
511 W HERON STREET, ABERDEEN, WA 98520-5929
(564) 544-1950
Mailing address
511 W HERON ST, ABERDEEN, WA 98520-6022
(564) 544-1950
(564) 544-1928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
09/11/2025
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