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Organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Active
Other names
Providence St. Peter Chemical Dependency Center
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization

Contact information

Practice address
508 QUARTER EIGHTH STREET, HOQUIAM, WA 98550
(360) 533-8813
Mailing address
909 N BROADWAY, PBO/CREDENTAILING, EVERETT, WA 98201-1409
(425) 317-0246
(425) 317-0291

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary

Other

Enumeration date
12/21/2006
Last updated
05/13/2025
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