| NPI | 1760428650 |
|---|---|
| Doing Business As | PORT GAMBLE S'KLALLAM HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DALLAS I DEGUIRE Administrative Director 360-297-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-01-07 |