Providence Health & Services Washington

NPI #1952500209 in Centralia, Washington

Provider Information

NPI Number
1952500209
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jul 17, 2007
Last Updated
Dec 22, 2010

Practice Location

Address
1800 COOKS HILL RD
Address 2
SUITE E
ZIP Code
98531-9072
Phone
(360) 330-8626

Authorized Official

Name
NICOLE QUINN
Title
PAYOR CREDENTIALING MANAGER
Phone
(425) 525-6715

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Occupational MedicineOccupational Medicine
Clinic/Center - Physical TherapyPhysical Therapy

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