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Organization
PROVIDENCE HEALTH & SERVICES- WASHINGTON
Active
Organization
PROVIDENCE HEALTH & SERVICES- WASHINGTON
Active
Other names
PROVIDENCE ST LUKES REHABILITATION MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6000
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(509) 473-6000
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
NULL
103TR0400X
Rehabilitation Psychologist
Primary
—
—
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
NULL
283X00000X
Rehabilitation Hospital
—
NULL
Other
Enumeration date
01/28/2021
Last updated
05/07/2025
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