Providence Health & Services - Washington

NPI #1922259027 in Monroe, Washington

Provider Information

NPI Number: 1922259027
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: Family Medicine
Enumeration Date: Oct 7, 2008
Last Updated: Jul 24, 2025

Practice Location

Address: 19200 N KELSEY ST
City: Monroe
State: Washington
ZIP Code: 98272-1431
Phone: (360) 805-4790

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
General Practice	208D00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Family Medicine	207Q00000X	Primary

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