Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
providence mother joseph care cent
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
3333 ENSIGN RD NE, OLYMPIA, WA 98506-5012
(360) 493-4572
(360) 493-5404
Mailing address
3333 ENSIGN RD NE, OLYMPIA, WA 98506-5012
(360) 493-4572
(360) 493-5404
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
FL00056502
WA
Other
Enumeration date
02/13/2007
Last updated
07/08/2025
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