Providence Health & Services - Washington

NPI #1417191057 in Walla Walla, Washington

Provider Information

NPI Number
1417191057
Entity Type
Organization
Organization Name
Providence Health & Services - Washington
Primary Specialty
Urology
Enumeration Date
Apr 27, 2009
Last Updated
May 7, 2025

Practice Location

Address
301 W POPLAR ST
Address 2
SUITE 50
ZIP Code
99362-2858
Phone
(509) 522-5832

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Urology

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