LOWER ELWHA KLALLAM TRIBE (NPI# 1841316023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841316023 |
| Entity Type | Organization |
| Organization Name | LOWER ELWHA KLALLAM TRIBE |
| Practice Address |
2851 Lower Elwha Rd Port Angeles WA 98363-8409 |
| Practice Telephone | 3604528471 |
| Practice Fax Number | 3604523428 |
| Mailing Telephone | 3604528471 |
| Mailing Fax Number | 3604523428 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-04-28 |
| 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 | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PTAN | 50-1835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841316700 | Lower Elwha Klallam Tribe | Clinic/Center | 3080 Lower Elwha Rd, Port Angeles, WA 98363-8411 | 2007-03-22 |
| 1295851160 | Lower Elwha Klallam Tribe | Clinic/Center | 3080 Lower Elwha Rd, Port Angeles, WA 98363-8411 | 2007-03-22 |
| 1821114026 | Lower Elwha Klallam Tribe | Clinic/Center | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2007-03-21 |
| 1841316916 | Lower Elwha Klallam Tribe | Clinic/Center | 933 E 1st St, Port Angeles, WA 98362-4012 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOWER ELWHA KLALLAM TRIBE | 2851 Lower Elwha Rd, Port Angeles, WA 98363-8409 |
| Street Address |
2851 LOWER ELWHA RD |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98363-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508219593 | Douglas Jon Greene | Counselor | 2851 Lower Elwha Rd, 933 E First St, Port Angeles, WA 98363-8409 | 2016-07-14 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073062972 | Wholehearted Functional Medicine | Clinic/Center | 430 E Lauridsen Blvd, 212, Port Angeles, WA 98362-7978 | 2016-10-03 |
| 1265834899 | Lower Elwha Health Clinic | Clinic/Center | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2014-09-26 |
| 1700299096 | Sound Sleep Solutions, LLC | Clinic/Center | 104 W 3rd St, Port Angeles, WA 98362-2825 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558784 | Barono Consulting LLC | Clinic/Center | 23449 28th Ave S, Des Moines, WA 98198-8724 | 2020-11-03 |
| 1396381653 | Meghan Devonport, Lmp | Clinic/Center | 1417 Nw 54th St Ste 455, Seattle, WA 98107-3564 | 2019-11-21 |
| 1982255626 | Pnw Acupuncture and Wellness Pllc | Clinic/Center | 9559 Sand Point Way Ne, Seattle, WA 98115-2621 | 2019-09-24 |
| 1144877671 | Manifest Medicine Pllc | Clinic/Center | The Healing Art Center, 453 N Beach Rd, Eastsound, WA 98245-8927 | 2019-08-20 |
| 1952962383 | A Well Kneaded Massage | Clinic/Center | 312 E Pioneer, Puyallup, WA 98372-3264 | 2019-06-26 |
| 1174080881 | P4 Medicine Institute | Clinic/Center | 464 12th Ave Fl 400, Seattle, WA 98122-5567 | 2019-02-28 |
| 1740764109 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3850 S Meridian Ste 3, Puyallup, WA 98373-3701 | 2018-09-21 |
| 1841774809 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3811 Broadway Ste 3, Everett, WA 98201-5031 | 2018-09-17 |
| 1750865713 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 2602 S 38th St Ste C, Tacoma, WA 98409-7303 | 2018-09-17 |
| 1053895011 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 200 Andover Park E Ste 1, Tukwila, WA 98188-2938 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98363 |
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| 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.