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Organization
EXPRESS CARE WA PC
Active
Organization
EXPRESS CARE WA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1350 MARVIN RD NE STE D, LACEY, WA 98516-3877
(888) 227-3312
Mailing address
PO BOX 5188, PORTLAND, OR 97208-5188
(888) 227-3312
(425) 276-3215
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
02/19/2019
Last updated
05/06/2025
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