Providence Health & Services - Washington

NPI #1063663458 in Marysville, Washington

Provider Information

NPI Number
1063663458
Entity Type
Organization
Organization Name
Providence Health & Services - Washington
Primary Specialty
Family Medicine
Enumeration Date
Oct 4, 2008
Last Updated
May 12, 2025

Practice Location

Address
11603 STATE AVE
Address 2
SUITE G
ZIP Code
98271-8465
Phone
(360) 658-6800

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics
General Practice
Durable Medical Equipment & Medical Supplies
Family Medicine

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