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General NPI Number Information
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NPI Number | 1639036924
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Entity Type | Organization
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Legal Business Name | NORTH OLYMPIC HEALTHCARE NETWORK
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 223 E 4TH ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-3000
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Country | US
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Telephone | 360-452-7891
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Fax | 360-452-8087
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Provider Business Mailing Address
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Address Line | 240 W FRONT ST STE A
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City | PORT ANGELES
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State | WA
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Zip | 98362-2609
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Country | US
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Telephone | 360-452-7891
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Fax | 360-452-8087
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Authorized Official
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Title or Position | C.F.O.
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Name | BEAU JACOB BROWN
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Credential |
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Telephone | 360-452-7891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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