Providence Health & Services - Washington

NPI #1073677605 in Shelton, Washington

Provider Information

NPI Number
1073677605
Entity Type
Organization
Organization Name
Providence Health & Services - Washington
Primary Specialty
Rehabilitation, Substance Use Disorder Unit
Enumeration Date
Dec 20, 2006
Last Updated
May 13, 2025

Practice Location

Address
506 W FRANKLIN ST
ZIP Code
98584-3517
Phone
(360) 432-8692

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Rehabilitation, Substance Use Disorder Unit

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