# PROVIDENCE HEALTH & SERVICES WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence St. Peter Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407964133
- **Authorized official:** DONALD ANDERSON JR. (ASST CORP SEC FOR ENROLLMENTS)
- **Authorized official phone:** (425) 525-5392

## Contact information

- **Practice address:** 413 LILLY RD NE, OLYMPIA, WA 98506-5133
- **Practice address phone:** (360) 491-9480
- **Practice address fax:** (360) 493-5858
- **Mailing address:** PO BOX 3505, PORTLAND, OR 97208-3505
- **Mailing address phone:** (360) 491-9480
- **Mailing address fax:** (360) 493-4277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 06/21/2018