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PORT GAMBLE S'KLALLAM ORCA PRIDE
NPI 1043435563
Clinic/Center - Rehabilitation, Substance Use Disorder in Kingston, WA

Active since April 17, 2007CLIA 50D0722309 · Microscopy
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346(360) 297-9601(360) 297-9614 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Port Gamble S'klallam Orca Pride NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT GAMBLE S'KLALLAM ORCA PRIDE (NPI 1043435563) is a healthcare organization registered as a rehabilitation, substance use disorder in Kingston, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Kerstin Margareta Powell, Health Center Business Office Manag, as its authorized official.

NPPES Registry Identity

NPI1043435563
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePORT GAMBLE S'KLALLAM ORCA PRIDE
Location Address32014 LITTLE BOSTON RD NEKingston, WA 98346-9734
Mailing Address32014 Little Boston Rd NeKingston, WA 98346-9734 · (360) 297-9601 · Fax (360) 297-9614
Phone(360) 297-9601
Fax(360) 297-9614
Organization SubpartNo
Authorized OfficialKerstin Margareta PowellHealth Center Business Office Manag · (360) 297-9601
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043435563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
32014 LITTLE BOSTON RD NE, Kingston, WA 98346
Open in Google Maps ↗

Other Identifiers 1

Medicaid1994623WA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0722309

Port Gamble S'klallam Clinic · Kingston, WA
Active · expires Aug 31, 2026
CLIA Number50D0722309
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas Locke, MD
Laboratory Phone(360) 297-9601
Laboratory LocationPort Gamble S'klallam Clinic32020 Little Boston Road NE, Kingston, WA 98346
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN C BEST RN
Registered Nurse (Community Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
DR. BRUCE J PATCHEN DDS
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
TAMMY L SULLIVAN CHR
Technician
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
JOHN S PAUL DDS
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
PORT GAMBLE S'KLALLAM MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
DANIEL M BREWER MA PSYCHOLOGY
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
JUDY L HESSLER LMC
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
MRS. DEANNA GRIFFETH RC, CDP
Counselor (Addiction (Substance Use Disorder))
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Gamble S'klallam Orca Pride's NPI number?

The NPI number for Port Gamble S'klallam Orca Pride is 1043435563. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Port Gamble S'klallam Orca Pride located?

Port Gamble S'klallam Orca Pride is located at 32014 Little Boston Rd NE, Kingston, WA 98346. The listed phone number is (360) 297-9601.

What is Port Gamble S'klallam Orca Pride's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Port Gamble S'klallam Orca Pride hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0722309) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Port Gamble S'klallam Orca Pride was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.