Healthcare Provider Details

I. General information

NPI: 1730134206
Provider Name (Legal Business Name): NHC OAK HARBOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 N SARATOGA ST
OAK HARBOR WA
98278-8800
US

IV. Provider business mailing address

3475 N SARATOGA ST
OAK HARBOR WA
98278-8800
US

V. Phone/Fax

Practice location:
  • Phone: 360-257-9500
  • Fax:
Mailing address:
  • Phone: 360-257-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1100X
TaxonomyMilitary/U.S. Coast Guard Outpatient Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH TELLEZ
Title or Position: DHA FINANCIAL MANAGER
Credential:
Phone: 360-475-4459