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MINERVA J ETAUGH SUDP-T
NPI 1720955966
Counselor - Addiction (Substance Use Disorder) in Port Angeles, WA

Active since October 22, 2025
716 S CHASE ST, PORT ANGELES, WA 98362(360) 395-2976 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minerva J Etaugh Sudp-t NPPES

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

MINERVA J ETAUGH SUDP-T (NPI 1720955966) is an individual addiction (substance use disorder) provider in Port Angeles, Washington, licensed in Washington (CDPT.CO.61580505) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1720955966
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMINERVA J ETAUGHCredential: SUDP-T
Location Address716 S CHASE STPort Angeles, WA 98362-6122
Mailing Address828 E 4th St Apt 102Port Angeles, WA 98362-3805 · (360) 808-5602
Phone(360) 395-2976
Sole ProprietorNo
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1720955966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CDPT.CO.61580505
716 S CHASE ST, Port Angeles, WA 98362
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Other Providers at the Same Location NPPES 13

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

LISA ANN CLARK
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (306) 203-6997
MARNIE CORRINE WOODSON LPN
Licensed Practical Nurse
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
LINDA GALE WEED
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
ESTENE LYMAN SUDPT
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
JENNIFER JONES
Nurse's Aide
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
JESSICA MARIE BAMBURG
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
MRS. EILENE LAREE RICKENBACHER SUDPT
Counselor (Addiction (Substance Use Disorder))
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976
BAART BEHAVIORAL HEALTH SERVICES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
716 S CHASE ST
PORT ANGELES, WA 98362
Clallam County (360) 395-2976

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 Minerva Etaugh's NPI number?

The NPI number for Minerva Etaugh is 1720955966. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Minerva Etaugh located?

Minerva Etaugh practices at 716 S Chase St, Port Angeles, WA 98362. The listed phone number is (360) 395-2976.

What is Minerva Etaugh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Minerva Etaugh was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.