JAMESTOWN SKLALLAM TRIBE (NPI# 1134181555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134181555 |
| Entity Type | Organization |
| Organization Name | JAMESTOWN SKLALLAM TRIBE |
| Other Organization Name | JAMESTOWN FAMILY HEALTH CLINIC |
| Practice Address |
808 N 5th Ave Sequim WA 98382-3045 |
| Practice Telephone | 3606835900 |
| Practice Fax Number | 3605824800 |
| Mailing Telephone | 3606835900 |
| Mailing Fax Number | 3605824800 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | WILLIAM RON ALLEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3606831109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7111768 | 05 |
| Other Name | Type Code |
|---|---|
| Jamestown Family Health Clinic | Doing Business As Name - Organization |
| Street Address |
808 N 5TH AVE |
| City | SEQUIM |
| State | WA |
| Zip Code | 98382-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635086 | Kathleen Marian Farrell | Family Medicine | 808 N 5th Ave, Sequim, WA 98382-3045 | 2005-08-03 |
| 1245878321 | Janelle Lenore Cole | Registered Nurse | 808 N 5th Ave, Sequim, WA 98382-3045 | 2019-12-19 |
| 1124416292 | Meghan Evans | Physician Assistant | 808 N 5th Ave, Sequim, WA 98382-3045 | 2014-12-24 |
| 1679971352 | Danichi Yoshida | Physician Assistant | 808 N 5th Ave, Sequim, WA 98382-3045 | 2014-12-12 |
| 1164834461 | Candace Burkhardt | Counselor | 808 N 5th Ave, Sequim, WA 98382-3045 | 2014-05-21 |
| 1144658253 | Michael Allen Anderson | Physician Assistant | 808 N 5th Ave, Sequim, WA 98382-3045 | 2013-10-29 |
| 1013262617 | Fransje Jereontje Slothouber Giles | Nurse Practitioner | 808 N 5th Ave, Sequim, WA 98382-3045 | 2012-07-19 |
| 1982973400 | Allison Berry Unthank | Family Medicine | 808 N 5th Ave, Sequim, WA 98382-3045 | 2011-12-29 |
| 1184929788 | Christina Chiara King-talley | Nurse Practitioner | 808 N 5th Ave, Sequim, WA 98382-3045 | 2011-01-13 |
| 1124224092 | Lisa May Wu | Family Medicine | 808 N 5th Ave, Sequim, WA 98382-3045 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760032841 | Dale I King | Technician | 512 Lostwood Lane, Sequim, WA 98382 | 2019-09-19 |
| 1831661164 | Katheryn Murray | Community Health Worker | 80 Spencer Rd Spc 10, Sequim, WA 98382 | 2018-12-27 |
| 1306314349 | Tera Joyce Phillips | Counselor | 112 S Solmar Dr, Sequim, WA 98382 | 2018-11-07 |
| 1275025595 | Peninsula Counseling | Social Worker | 435 West Bell St Suite D, Sequim, WA 98382 | 2018-06-01 |
| 1437661816 | Kathryn Elizabeth Sanford | Registered Nurse | 720 Carlsborg Rd, Sequim, WA 98382 | 2017-10-25 |
| 1407271935 | Hoa Lien Trinh | Denturist | 124 W. Spruce St., Sequim, WA 98382 | 2014-02-20 |
| 1306267323 | Pamela Hursey-king | Occupational Therapist | 600 West Hemlock St, Sequim, WA 98382 | 2013-12-17 |
| 1821419060 | Cortney Woodford | Speech-Language Pathologist | 600 West Hemlock Street, Sequim, WA 98382 | 2013-12-13 |
| 1851638043 | Sonja Ann Bittner | Registered Nurse | 503 North Sequim Ave, Sequim, WA 98382 | 2013-01-09 |
| 1063796175 | Peak Performance Therapy LLC | Occupational Therapist | 519 Eureka Way, Suite 2, Sequim, WA 98382 | 2011-10-07 |
| Find all providers in zip 98382 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629484480 | George Riley Wreggit | General Practice | 851 Doe Run Rd, Sequim, WA 98382-3804 | 2014-07-01 |
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|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
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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.