Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Poplar Medical Complex DME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
301 W POPLAR ST, WALLA WALLA, WA 99362-2858
(509) 526-3333
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
(425) 525-6650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
05/06/2025
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