| Quinault Indian Nation | |
|
1020 Anderson Dr Ste 203 Aberdeen WA 98520-1055 | |
| (360) 533-6063 | |
| Not Available |
| Full Name | Quinault Indian Nation |
|---|---|
| Speciality | Family Medicine |
| Location | 1020 Anderson Dr Ste 203, Aberdeen, Washington |
| Authorized Official Name and Position | Jason Gale Halstead (COO) |
| Authorized Official Contact | 5645441930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quinault Indian Nation 421 W State St Aberdeen WA 98520-6129 Ph: (564) 544-1950 | Quinault Indian Nation 1020 Anderson Dr Ste 203 Aberdeen WA 98520-1055 Ph: (360) 533-6063 |
| NPI Number | 1952131757 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 09/25/2025 |
| Medicare PECOS PAC ID | 4385164839 |
|---|---|
| Medicare Enrollment ID | O20250227000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952131757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John C. Bausher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033207824 PECOS PAC ID: 4284765314 Enrollment ID: I20250227001190 |
| Provider Name | Jean L Ebersole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366252736 PECOS PAC ID: 3678099108 Enrollment ID: I20250428004258 |
| Provider Name | Leona Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558612671 PECOS PAC ID: 6709038763 Enrollment ID: I20250506002006 |
| Provider Name | Katie Elise Clarkson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497927297 PECOS PAC ID: 2163611625 Enrollment ID: I20250507003504 |
| Provider Name | Monica Hallak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725155 PECOS PAC ID: 8325314792 Enrollment ID: I20250508000772 |
| Provider Name | Maria Neeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568866572 PECOS PAC ID: 0244779072 Enrollment ID: I20250521000201 |
| Provider Name | Nathan Howard Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154707552 PECOS PAC ID: 8123328440 Enrollment ID: I20250605002462 |
Timothy H. Troeh, M D P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 9th Ave, Aberdeen, WA 98520 Phone: 360-589-6982 | |
Hany G Bashandy Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Anderson Dr Ste 205, Aberdeen, WA 98520 Phone: 360-533-6038 Fax: 360-538-0807 | |
Kenneth I Hunt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 N H St, Aberdeen, WA 98520 Phone: 360-537-6391 Fax: 360-537-6322 | |
Colette M Kato Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Basich Blvd, Suite A, Aberdeen, WA 98520 Phone: 360-532-1800 Fax: 360-532-2658 | |
Harbor Infectious Diseases Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Graves Ave, Aberdeen, WA 98520 Phone: 360-532-2311 | |
Grays Harbor Vision Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 N Broadway St, Aberdeen, WA 98520 Phone: 360-533-1880 Fax: 360-533-1886 | |
Coastal Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1921 Sumner Avenue, Aberdeen, WA 98520 Phone: 360-538-0135 Fax: 360-533-3475 |