ABHS PORT ANGELES OUTPATIENT PROGRAM – NPI #1477419869
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

ABHS PORT ANGELES OUTPATIENT PROGRAM is a substance abuse rehabilitation facility located in PORT ANGELES, WA. NPPES has assigned the NPI number 1477419869 to ABHS PORT ANGELES OUTPATIENT PROGRAM on December 29, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jan 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABHS PORT ANGELES OUTPATIENT PROGRAM below.

NPI Profile for
ABHS PORT ANGELES OUTPATIENT PROGRAM

NPI Number
1477419869
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABHS PORT ANGELES OUTPATIENT PROGRAM
Primary location
1108 E 1ST ST
PORT ANGELES, WA 98362-4317
Phone: (509) 232-5766 Fax:
Mailing address
15404 E SPRINGFIELD AVE
SPOKANE VALLEY, WA 99037-8569
Phone: (253) 227-3802 Fax:
Organization Subpart
Yes - ABHS PORT ANGELES OUTPATIENT PROGRAM is subpart of another organization.
Authorized Official
ANTHONY PRENTICE
CEO
Phone: (360) 507-8028
Updated
Certification Date
Jan 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.