# PROVIDENCE HEALTH & SERVICES-WA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NW Heart & Lung Surgical Assoc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538311287
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
- **Practice address phone:** (509) 456-0262
- **Practice address fax:** (509) 462-5059
- **Mailing address:** PO BOX 31001-4114, PASADENA, CA 91110-4114
- **Mailing address phone:** (509) 456-0262
- **Mailing address fax:** (425) 276-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 600503828 | WA | Yes |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 05/08/2025