Providence Health & Services-Washington
NPI #1265683650 in Monroe, Washington
Provider Information
- NPI Number
- 1265683650
- Entity Type
- Organization
- Organization Name
- Providence Health & Services-Washington
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 4, 2008
- Last Updated
- May 12, 2025
Practice Location
- Address
- 19200 N KELSEY ST
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-1431
- Phone
- (360) 794-7994
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pediatrics |
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