Organization
PROVIDENCE HEALTH & SERVICES - WA
Active
Parent organization
PROVIDENCE HEALTH & SERVICES - WA
Other names
PROVIDENCE MOBILE MAMMOGRAPHY COACH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES - WA
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
101 W 8TH AVE, WOMEN'S HEALTH CENTER, SPOKANE, WA 99204-2307
(877) 474-2400
(509) 474-3129
Mailing address
PO BOX 2555, WOMEN'S HEALTH CENTER, SPOKANE, WA 99220-2555
(877) 474-2400
(509) 474-3129
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
—
—
261QR0207X
Mobile Mammography Clinic/Center
—
—
Other
Enumeration date
06/16/2009
Last updated
07/25/2025
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