Healthcare Provider Details

I. General information

NPI: 1952217986
Provider Name (Legal Business Name): NORTH OLYMPIC HEALTHCARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 TERRA EDEN ST
FORKS WA
98331-9604
US

IV. Provider business mailing address

240 W FRONT ST STE A
PORT ANGELES WA
98362-2609
US

V. Phone/Fax

Practice location:
  • Phone: 360-452-7891
  • Fax: 360-452-8087
Mailing address:
  • Phone: 360-452-7891
  • Fax: 360-452-8087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: BEAU BROWN
Title or Position: C.F.O.
Credential:
Phone: 360-452-7891