OLYMPIC PENINSULA COMMUNITY CLINIC
NPI 1356210892
Clinic/Center - Primary Care in Port Angeles, WA

Active since November 03, 2025CLIA 50D0989250 · Waiver
819 GEORGIANA ST, PORT ANGELES, WA 98362(360) 457-4431(360) 457-7755 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Nov 3, 2025 (2 updates tracked since 2025).

About Olympic Peninsula Community Clinic NPPES

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

OLYMPIC PENINSULA COMMUNITY CLINIC (NPI 1356210892) is a healthcare organization registered as a primary care in Port Angeles, Washington and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains 2 additional practice locations, and lists T Scott Brandon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356210892
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOLYMPIC PENINSULA COMMUNITY CLINIC
Location Address819 GEORGIANA STPort Angeles, WA 98362-3511
Mailing Address819 Georgiana StPort Angeles, WA 98362-3511 · (360) 457-4431
Fax(360) 457-7755
Organization SubpartNo
Authorized OfficialT Scott BrandonCeo · (360) 457-4431
Enumeration DateNovember 3, 2025
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1356210892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedRespite CareTaxonomy 385H00000X
819 GEORGIANA ST, Port Angeles, WA 98362

Other Names 2

Doing Business AsOlympic Peninsula Community Clinic
Former Legal Business NameVolunteers In Medicine Of The Olympics

Secondary Practice Locations 2

Location 12321 W 18th StPort Angeles, WA 98363-1509 · Phone (360) 457-4431 · Fax (360) 457-7755
Location 251 N Spartan Ave Unit AForks, WA 98331-9051 · Phone (360) 457-4431 · Fax (360) 457-7755

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 of Waiver 50D0989250

Olympic Peninsula Community Clinic · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D0989250
Laboratory TypeOther
Certificate Effective DateJuly 20, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorGerald Stephanz
Laboratory Phone(360) 457-4431
Laboratory LocationOlympic Peninsula Community Clinic819 Georgiana St, Port Angeles, WA 98362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
819 GEORGIANA ST, SUITE A
PORT ANGELES, WA 98362
Hearing Instrument Specialist
819 GEORGIANA ST, SUITE B
PORT ANGELES, WA 98362
Clinic/Center (Primary Care)
819 GEORGIANA ST
PORT ANGELES, WA 98362
Internal Medicine
819 GEORGIANA ST
PORT ANGELES, WA 98362
Community Health Worker
819 GEORGIANA ST
PORT ANGELES, WA 98362
Nurse Practitioner (Psychiatric/Mental Health)
819 GEORGIANA ST
PORT ANGELES, WA 98362
Marriage & Family Therapist
819 GEORGIANA ST
PORT ANGELES, WA 98362
Dentist (General Practice)
819 GEORGIANA ST
PORT ANGELES, WA 98362

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 Olympic Peninsula Community Clinic's NPI number?

The NPI number for Olympic Peninsula Community Clinic is 1356210892. It was assigned to this organization in the NPPES registry on November 3, 2025. The provider was formerly known as Volunteers in Medicine of the Olympics.

Where is Olympic Peninsula Community Clinic located?

Olympic Peninsula Community Clinic is located at 819 Georgiana St, Port Angeles, WA 98362. The listed phone number is (360) 457-4431.

What is Olympic Peninsula Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Olympic Peninsula Community Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0989250) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olympic Peninsula Community Clinic was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.