Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence North East Washington Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 474-2072
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
05/05/2025
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