OrganizationActive
Chinook Pharmacy Clinical
NPI 1417528282 · Family Medicine Physician · Forks, WA
Provider details
- NPI number
- 1417528282
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Chinook Pharmacy Inc.
- Organization subpart
- Yes
- Authorized official
- Charles Carlson, Owner/Rph(360) 374-2294
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 S Forks Ave Ste a
Forks, WA 98331-9006
Phone: (360) 374-2294
Fax: (360) 374-5057
Street-level locationGet directions
Mailing address
Po Box 2136
Forks, WA 98331-2136
Other names (DBA / former)
- Doing business as
- Chinook Pharmacy Inc.
Registry dates
- Enumerated
- 2021-07-02
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.