| Lower Elwha Klallam Tribe | |
|
3080 Lower Elwha Rd Port Angeles WA 98363-8411 | |
| (360) 452-6252 | |
| (360) 457-8429 |
| Full Name | Lower Elwha Klallam Tribe |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3080 Lower Elwha Rd, Port Angeles, Washington |
| Authorized Official Name and Position | Frances G Charles (CHAIRWOMAN) |
| Authorized Official Contact | 3604528471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Elwha Klallam Tribe 243511 Highway 101 Port Angeles WA 98363-9472 Ph: (360) 452-6252 | Lower Elwha Klallam Tribe 3080 Lower Elwha Rd Port Angeles WA 98363-8411 Ph: (360) 452-6252 |
| NPI Number | 1841316700 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841316700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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