Providence Health & Services Washington

NPI #1174744304 in Olympia, Washington

Provider Information

NPI Number
1174744304
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Family Medicine
Enumeration Date
May 2, 2007
Last Updated
May 12, 2025

Practice Location

Address
525 LILLY RD NE
ZIP Code
98506
Phone
(360) 793-7230

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Dermatology
Family Medicine - Adult MedicineAdult Medicine
Family Medicine - Geriatric MedicineGeriatric Medicine
Obstetrics & Gynecology
General Practice
Family Medicine

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