Providence Health & Services-Wa

NPI #1215225099 in Monroe, Washington

Provider Information

NPI Number
1215225099
Entity Type
Organization
Organization Name
Providence Health & Services-Wa
Primary Specialty
Advanced Practice Midwife
Enumeration Date
Jul 14, 2011
Last Updated
Aug 5, 2025

Practice Location

Address
14692 179TH AVE SE
Address 2
STE 800
City
Monroe
ZIP Code
98272-1162
Phone
(360) 794-7994

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Midwife
Advanced Practice Midwife

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