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Contact Information

JAMESTOWN S'KLALLAM TRIBE
1033 OLD BLYN HWY
SEQUIM, WA98382-7670
 Phone: 360-683-1109
 Fax: 360-683-3401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Public Health, Federal

261QP0904X
Indicates primary specialty

NPI Profile & details for JAMESTOWN SKLALLAM TRIBE · (Female)

NPI # 1477630507
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 12/29/2021 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 7123433
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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