| Quinault Indian Nation | |
|
511 W Heron St Aberdeen WA 98520-6022 | |
| (564) 544-1950 | |
| (564) 544-1928 |
| Full Name | Quinault Indian Nation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 W Heron St, Aberdeen, Washington |
| Authorized Official Name and Position | Jason G Halstead (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5645441930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quinault Indian Nation 511 W Heron St Aberdeen WA 98520-6022 Ph: (564) 544-1950 | Quinault Indian Nation 511 W Heron St Aberdeen WA 98520-6022 Ph: (564) 544-1950 |
| NPI Number | 1619719770 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619719770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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