Providence Health & Services Washington

NPI #1477563344 in Kodiak, Alaska

Provider Information

NPI Number
1477563344
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 9, 2006
Last Updated
May 15, 2025

Practice Location

Address
1818 E REZANOF DR
City
Kodiak
State
Alaska
ZIP Code
99615-6505
Phone
(907) 481-2400

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Case Manager/Care Coordinator
Psychiatry & Neurology - PsychiatryPsychiatry
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Community/Behavioral Health

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