Providence Health & Services Washington

NPI #1023563897 in College Place, Washington

Provider Information

NPI Number: 1023563897
Entity Type: Organization
Organization Name: Providence Health & Services Washington
Primary Specialty: General Practice
Enumeration Date: Aug 22, 2016
Last Updated: May 6, 2025

Practice Location

Address: 1705 SE MEADOWBROOK BLVD
Address 2: SUITE 2
City: College Place
State: Washington
ZIP Code: 99324-1756
Phone: (509) 987-2450

Authorized Official

Name: MR. DONALD W ANDERSON JR.
Title: ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
General Practice	208D00000X	Primary

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