Providence Health & Services Washington

NPI #1215431697 in Lacey, Washington

Provider Information

NPI Number: 1215431697
Entity Type: Organization
Organization Name: Providence Health & Services Washington
Primary Specialty: Clinic/Center
Enumeration Date: Mar 21, 2018
Last Updated: May 12, 2025

Practice Location

Address: 4800 COLLEGE ST SE
City: Lacey
State: Washington
ZIP Code: 98503-4389
Phone: (360) 493-7567

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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