Olympic Peninsula Community Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OLYMPIC PENINSULA COMMUNITY CLINIC

Practice address

819 Georgiana St
Port Angeles, WA 98362-3511

Phone

(360) 457-4431

Fax

(360) 457-7755

NPI assigned

Nov 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

T Scott BrandonNPI 1619810108

Title

Ceo

Phone

(360) 457-4431

Specialties & licenses 3

Addresses

Other names 2

• Olympic Peninsula Community Clinic Doing business as
• Volunteers in Medicine of the Olympics Former legal business name

Tax ID family

Olympic Peninsula Community Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Volunteers in Medicine of the Olympics

  • General Practice Dentistry
  • Port Angeles, WA
  • NPI 1881130912
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• T Scott Brandon, CHW

  • Community Health Worker
  • Port Angeles, WA
  • NPI 1619810108
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1356210892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 GEORGIANA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623511",
            "telephone_number": "360-457-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 GEORGIANA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623511",
            "telephone_number": "360-457-4431",
            "fax_number": "360-457-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983631509",
            "country_code": "US",
            "telephone_number": "360-457-4431",
            "fax_number": "360-457-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 N Spartan Ave Unit A",
            "address_purpose": "LOCATION",
            "city": "Forks",
            "state": "WA",
            "postal_code": "983319051",
            "country_code": "US",
            "telephone_number": "360-457-4431",
            "fax_number": "360-457-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLYMPIC PENINSULA COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "T SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-457-4431"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Peninsula Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Volunteers in Medicine of the Olympics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Olympic Ambulance Service Inc.
• Olympic Chiropractic Clinic Inc
• Olympic Community Action Programs
• Olympic Medical Center
• Olympic Medical Physicians
• Olympic Peninsula Community Clinic
• Olympic Peninsula Home Care
• Olympic Psychiatric Assoc.,P.S.
• Open Heart Therapy
• Crystal Ann Oravetz, CDPT

• Primary Care Clinic/Center in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.