Providence Health & Services - Washington
NPI #1144536269 in Enterprise, Oregon
Provider Information
- NPI Number
- 1144536269
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Washington
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Aug 26, 2010
- Last Updated
- Aug 1, 2025
Practice Location
- Address
- 107 SW 1ST ST
- Address 2
- SUITE 104
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828
- Phone
- (509) 838-7711
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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