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Organization
SWEDISH HEALTH SERVICES
Active
Organization
SWEDISH HEALTH SERVICES
Active
Other names
Swedish Family Medicine Cherry Hill
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
550 16TH AVE, SUITE 100, SEATTLE, WA 98122-5699
(206) 320-2484
(206) 320-4568
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 320-5340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
600661285
WA
1041C0700X
Clinical Social Worker
600661285
WA
174400000X
Specialist
600661285
WA
207Q00000X
Family Medicine Physician
Primary
600661285
WA
207V00000X
Obstetrics & Gynecology Physician
600661285
WA
213E00000X
Podiatrist
600661285
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134700
L&I GROUP NUMBER
WA
01
—
459918001
GROUP HEALTH GRP NUMBER
WA
05
—
7098734
—
WA
Enumeration date
05/24/2006
Last updated
05/13/2025
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