Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASST CORP SEC FOR ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
18313 PAULSON ST SW, SUITE A, ROCHESTER, WA 98579-9262
(360) 827-8400
(360) 273-7301
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
(503) 893-7120
(425) 276-3215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
05/13/2025
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