Family Practice Center of Grays Harbor

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE CENTER OF GRAYS HARBOR

Practice address

815 K St
Hoquiam, WA 98550-3705

Phone

(360) 538-1609

Fax

(360) 533-7107

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Janet K Jull

Title

Office Manager

Phone

(360) 538-1609

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710075825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 K ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503705",
            "telephone_number": "360-538-1609",
            "fax_number": "360-533-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 K ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503705",
            "telephone_number": "360-538-1609",
            "fax_number": "360-533-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER OF GRAYS HARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JULL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-538-1609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7041270",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nona Engers, RN
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• Kayla Fennell
• Aaron Finley, PA-C
• Michele Flink, RN
• Lavonne Elizabeth Frankhouser
• Stephen A Galt, PT

• Family Medicine Physician in Hoquiam, WA
• Providers in Hoquiam, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.