NPIMap

Organization Active NPI

Quinault Indian Nation

  • General Practice Physician
  • Aberdeen, WA
National Provider Identifier
1659209633
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
QUINAULT INDIAN NATION
Practice address
1020 Anderson Dr Ste 203
Aberdeen, WA 98520-1055
Phone
(360) 533-6063
Fax
(564) 544-1938
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
QUINAULT INDIAN NATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Ruby P Saunders-Jeremiah
Title
Billing Coding Supervisor
Phone
(564) 544-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1020 Anderson Dr Ste 203
Aberdeen, WA 98520-1055

Mailing address

421 W State St
Aberdeen, WA 98520-6129
Phone (564) 544-1950

National Provider Directory

National Provider Directory
Tax ID family
Quinault Indian Nation3 organizations share this tax ID, including this one
Part of
Quinault Indian Nation

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1659209633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W STATE ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206129",
            "telephone_number": "564-544-1950",
            "fax_number": "564-544-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR STE 203",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "360-533-6063",
            "fax_number": "564-544-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINAULT INDIAN NATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUINAULT INDIAN NATION",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS-JEREMIAH",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING CODING SUPERVISOR",
        "authorized_official_telephone_number": "564-544-1950"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.