Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
PMG E WA NEWMG ORTHOPEDICS DME
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
143 GARDEN HOMES DR, COLVILLE, WA 99114-9229
(509) 684-3701
Mailing address
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR, SPOKANE, WA 99204-2307
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
05/05/2025
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