Providence Health & Services Washington

NPI #1689805509 in Lacey, Washington

Provider Information

NPI Number
1689805509
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jul 28, 2009
Last Updated
May 15, 2025

Practice Location

Address
4800 COLLEGE ST SE
City
Lacey
ZIP Code
98503-4389
Phone
(360) 456-7575

Authorized Official

Name
DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY FOR ENROLLMENT
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Rehabilitation, Substance Use Disorder Unit
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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