MEDICARE: NORTH OLYMPIC HEALTHCARE NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1639036924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH OLYMPIC HEALTHCARE NETWORK

Provider Business Mailing Address
First Line	:	240 W FRONT ST STE A
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-2609
Country	:	US
Telephone Number	:	360-452-7891
Fax Number	:	360-452-8087

Provider Business Practice Location Address
First Line	:	223 E 4TH ST
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-3000
Country	:	US
Telephone Number	:	360-452-7891
Fax Number	:	360-452-8087

Authorized Official
Title or Position	:	C.F.O.
Name	:	BEAU JACOB BROWN
Credential	:
Telephone Number	:	360-452-7891

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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