Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peninsula Community Health Services

Organization Family Medicine Physician · NPI 1013969351

Peninsula Community Health Services is a Family Medicine Physician in Poulsbo, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7

Practice location Address checks out

19917 7th Ave NE Ste 205
Poulsbo, WA 98370-7403
Phone: (360) 377-3776
Fax: (360) 779-6449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1013969351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Kreidler-Moss — Ceo · (360) 377-3776
NPI enumeratedMay 16, 2006
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing addressPo Box 960, Bremerton, WA 98337-0212

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