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NPI 1851264121

NPI 1851264121 : HOH INDIAN TRIBE : FORKS, WA

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General NPI Number Information
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    NPI Number           |    1851264121
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOH INDIAN TRIBE 
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Dates
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    Enumeration Date     |    09/24/2025
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    Last Update Date     |    09/24/2025
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Provider Practice Location Address
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    Address Line         |    2263 LOWER HOH RD 
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    City                 |    FORKS
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    State                |    WA
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    Zip                  |    98331
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    Country              |    US
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    Telephone            |    360-374-6582
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    Fax                  |    360-374-5426
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2196 
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    City                 |    FORKS
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    State                |    WA
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    Zip                  |    98331
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    Country              |    US
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    Telephone            |    360-374-6582
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    Fax                  |    360-374-5426
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Authorized Official
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    Title or Position    |    CHAIR WOMAN
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    Name                 |    MRS. DARLENE  HOLLUM 
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    Credential           |    
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    Telephone            |    360-780-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2800X
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    Taxonomy Name        |    Methadone Clinic
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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