Providence Health & Services Washington

NPI #1043419393 in Centralia, Washington

Provider Information

NPI Number: 1043419393
Entity Type: Organization
Organization Name: Providence Health & Services Washington
Primary Specialty: Anesthesiology
Enumeration Date: Jul 17, 2007
Last Updated: May 5, 2025

Practice Location

Address: 914 S SCHEUBER RD
City: Centralia
State: Washington
ZIP Code: 98531-9027
Phone: (360) 736-2803

Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title: ASSISTANT SECRETARY FOR ENROLLMENT
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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