Providence Health & Services Washington
NPI #1366641755 in Lacey, Washington
Provider Information
- NPI Number
- 1366641755
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Washington
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 16, 2007
- Last Updated
- May 15, 2025
Practice Location
- Address
- 4800 COLLEGE ST SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-4389
- Phone
- (360) 456-7575
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECREATRY FOR ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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