Providence Health & Services Washington

NPI #1083968879 in Colville, Washington

Provider Information

NPI Number
1083968879
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Family Medicine
Enumeration Date
Nov 1, 2012
Last Updated
May 5, 2025

Practice Location

Address
1200 E COLUMBIA AVE
ZIP Code
99114-3354
Phone
(509) 474-2072

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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