# PROVIDENCE HEALTH & SERVICES - WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Rochester Family Medicine (FFS)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841503034
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 18313 PAULSONST SW, SUITE A, ROCHESTER, WA 98579-9262
- **Practice address phone:** (360) 273-8818
- **Mailing address:** PO BOX 34439, SEATTLE, WA 98124-1439
- **Mailing address phone:** (425) 525-6715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2010
- **Last updated:** 05/13/2025