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830 Se Ireland St Oak Harbor WA 98277-5502 | |
| (360) 679-7676 | |
| (360) 682-5947 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 830 Se Ireland St, Oak Harbor, Washington |
| Authorized Official Name and Position | Rogelio Riojas (CEO) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 34703 Seattle WA 98124-1703 Ph: () - | 830 Se Ireland St Oak Harbor WA 98277-5502 Ph: (360) 679-7676 |
| NPI Number | 1598186553 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598186553 | NPI | - | NPPES |
| 2038406 | Medicaid | WA |
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