IndividualActive
Jessica Lee, SUDPT
NPI 1306455258 · Substance Use Disorder Rehabilitation Clinic/Center · Port Angeles, WA
Provider details
- NPI number
- 1306455258
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- SUDPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- CO61044127 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3430 E Highway 101 Ste 3
Port Angeles, WA 98362-9069
Phone: (360) 452-4062
Fax: (360) 452-4189
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 478
Port Angeles, WA 98362-0072
Registry dates
- Enumerated
- 2020-07-27
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.