Providence Health & Services - Washington

NPI #1093720534 in Palmer, Alaska

Provider Information

NPI Number: 1093720534
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HEALTH AND SERVICES ALASKA
Primary Specialty: Family Medicine
Enumeration Date: Jul 31, 2006
Last Updated: May 15, 2025

Practice Location

Address: 2250 S. WOODWORTH LOOP
Address 2: SUITE 101
City: Palmer
State: Alaska
ZIP Code: 99645
Phone: (907) 761-5900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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