LOWER ELWHA KLALLAM TRIBE DENTAL CLINIC (NPI# 1023134988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023134988 |
| Entity Type | Organization |
| Organization Name | LOWER ELWHA KLALLAM TRIBE DENTAL CLINIC |
| Practice Address |
243511 W Highway 101 Port Angeles WA 98363-9472 |
| Practice Telephone | 3604526252 |
| Practice Fax Number | 3604526274 |
| Mailing Telephone | 3604526252 |
| Mailing Fax Number | 3604526274 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRANCES G CHARLES (CHAIRWOMAN) |
| Authorized Official Telephone | 3604528471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
243511 W HIGHWAY 101 |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98363-9472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376626069 | Wendy Lynne Walsh | Dentist | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2006-10-24 |
| 1063071223 | Lauren Steim | Dentist | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2019-06-11 |
| 1013422757 | Idalis Rae Calvert | Preventive Medicine | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2017-12-04 |
| 1417469990 | Marissa Alexandra Pratt | Dietitian, Registered | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2017-10-24 |
| 1366976201 | January M Bourassa | Naturopath | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2017-04-18 |
| 1114470747 | Sherry Churchill | Nurse Practitioner | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2016-08-01 |
| 1871954941 | Andrea Blake | Counselor | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2016-03-16 |
| 1265834899 | Lower Elwha Health Clinic | Clinic/Center | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2014-09-26 |
| 1205151388 | Lower Elwha Maternal Support Services | Case Manager/Care Coordinator | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2010-04-01 |
| 1760687057 | Deborah A Rokosz | Family Medicine | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073185 | Sandra Lier | Technician | 1064 Freshwater Park Rd., Port Angeles, WA 98363 | 2019-09-20 |
| 1053969451 | Kari Ann Walen | Physician Assistant | 4407 Fairmont Ave, Port Angeles, WA 98363 | 2019-08-28 |
| 1407313059 | Christina Chadick | Counselor | 243511 Hwy 101 W., Port Angeles, WA 98363 | 2019-03-01 |
| 1982198214 | Serenity House of Clallam County | Case Management | 2203 W. 18th Street, Port Angeles, WA 98363 | 2018-06-20 |
| 1528564325 | Katelynne Mcdaniels | Behavior Technician | 1915 West 5th St, Port Angeles, WA 98363 | 2018-04-02 |
| 1730574930 | Vladislav Abaturov | Nurse Practitioner | 4407 Fairmont Avenue, Port Angeles, WA 98363 | 2015-04-03 |
| 1710314703 | Allan M Steigerwald | Anesthesiology | 4217 South Bean Road, Port Angeles, WA 98363 | 2013-10-04 |
| 1033431010 | Jean Leslie Kruger | Counselor | 3080 Lower Elwha Road, Port Angeles, WA 98363 | 2010-02-18 |
| 1518297001 | John Robert Zey | General Practice | 601 Diamond Vista Drive, Port Angeles, WA 98363 | 2010-01-05 |
| 1043540651 | Connie Lou Landrum | General Practice | 641 Diamond Vista Dr, Port Angeles, WA 98363 | 2010-01-04 |
| Find all providers in zip 98363 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1669010062 | Stephen J. Turella Dmd Pllc | Clinic/Center | 902 E 8th St, Port Angeles, WA 98362-6421 | 2019-12-16 |
| 1780110395 | Carlile Birch Noble Cramer Pllc | Clinic/Center | 1111 Columbia St, Port Angeles, WA 98362-4207 | 2017-05-03 |
| 1336458074 | Todd R Irwin Dmd Pllc | Clinic/Center | 620 E. 8th Street, Port Angeles, WA 98362 | 2010-09-29 |
| 1073763041 | Eleven Eleven Dental | Clinic/Center | 1111 Columbia St, Port Angeles, WA 98362-4207 | 2008-09-25 |
| 1639358021 | Lavern H. Swenson Dds | Clinic/Center | 618 S Peabody St, Suite A, Port Angeles, WA 98362-6244 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98363 |
Please comment or provide details below to improve the information on LOWER ELWHA KLALLAM TRIBE DENTAL CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.