Providence Health & Services Washington
NPI #1063415198 in Lacey, Washington
Provider Information
- NPI Number
- 1063415198
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Washington
- Primary Specialty
- Home Health
- Enumeration Date
- May 23, 2005
- Last Updated
- May 16, 2025
Practice Location
- Address
- 4200 6TH AVE SE
- Address 2
- SUITE 201
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1042
- Phone
- (360) 459-8311
Authorized Official
- Name
- DONALD ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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