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Organization
PROVIDENCE HEALTH & SERVICES-WA
Active
Organization
PROVIDENCE HEALTH & SERVICES-WA
Active
Other names
PMG NW WA Midwifery Monrole
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
14692 179TH AVE SE, STE 800, MONROE, WA 98272-1162
(360) 794-7994
(360) 805-4786
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
(425) 316-5439
(425) 316-5484
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
NULL
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
07/14/2011
Last updated
08/05/2025
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