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
- City
- Walla Walla
- State
- Washington
- 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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