Providence Health & Services Washington

NPI #1225763949 in Centralia, Washington

Provider Information

NPI Number
1225763949
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jul 18, 2022
Last Updated
May 12, 2025

Practice Location

Address
1010 S SCHEUBER RD
ZIP Code
98531-8892
Phone
(360) 827-7966

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Clinic/Center - Rural HealthRural Health

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