Providence Health & Services - Washington

NPI #1316433527 in Walla Walla, Washington

Provider Information

NPI Number
1316433527
Entity Type
Organization
Organization Name
Providence Health & Services - Washington
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 11, 2018
Last Updated
May 6, 2025

Practice Location

Address
1025 S 2ND AVE
ZIP Code
99362-4116
Phone
(509) 897-5174

Authorized Official

Name
MR. DONALD WAYNE ANDERSON JR.
Title
ASST SECRETARY-ENROLLMENT/ADMIN DIR
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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