Keystone Tides, PLLC
Keystone Tides, PLLC is a Developmental Disabilities Clinic/Center in Port Angeles, Washington. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 4
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 E Railroad Ave Ste 203Port Angeles, WA 98362-2925
Phone: (425) 400-8602
Fax: (425) 433-9177
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1306649884 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Johnson — Owner · (303) 775-0065 |
| NPI enumerated | March 31, 2025 |
| Last updated in NPPES | March 31, 2025 |
| Certification date | March 30, 2025 |
| Mailing address | 132 Deer Park Rd # 21, Port Angeles, WA 98362-7185 |