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Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
PROVIDENCE HOSPICE & HOME CARE OF SNOHOMISH COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASST. SECRETARY ENROLLMENT)
(425) 525-5392
Entity
Organization
Contact information
Practice address
1615 75TH ST SW STE 210, EVERETT, WA 98203-6293
(425) 261-4800
Mailing address
PO BOX 94502, SEATTLE, WA 98124-6802
(425) 261-4800
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
NULL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
NULL
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
251G00000X
Community Based Hospice Care Agency
—
NULL
Other
Enumeration date
01/23/2023
Last updated
01/25/2023
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