# EXPRESS CARE WA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821554452
- **Authorized official:** MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 1350 MARVIN RD NE STE D, LACEY, WA 98516-3877
- **Practice address phone:** (888) 227-3312
- **Mailing address:** PO BOX 5188, PORTLAND, OR 97208-5188
- **Mailing address phone:** (888) 227-3312
- **Mailing address fax:** (425) 276-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 05/06/2025