Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Port Gamble S'Klallam Tribe

Federally Qualified Health Center (FQHC) in Kingston, WA · enumerated 2006 · authorized official Dallas Deguire, Administrative Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760428650

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Registry record

Entity type Organization (Type 2)

Legal business name Port Gamble S'Klallam Tribe

Other name <Unavail>

Practice address 32014 Little Boston Rd Ne, Kingston, WA, 98346

Phone (360) 297-9601

Fax (360) 297-9614

Enumeration date Jun 21, 2006

Last updated in NPPES Jan 7, 2011

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Dallas Deguire

Title Administrative Director

Phone (360) 297-9601

Other identifiers

Identifier	Type	State	Issuer
1980929	Medicaid	WA	-
1992825	Medicaid	WA	-
5031810	Medicaid	WA	-
7094964	Medicaid	WA	-
7094972	Medicaid	WA	-
PO1021	Other	WA	REGENCE RIDER#
0101820	Other	WA	L&I CLINIC ID#
5031794	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Port Gamble S'Klallam Tribe located?

The practice location on file with NPPES is in Kingston, WA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-01-07. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-07.