Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence St Mary Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 522-5821
(509) 522-5752
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
H-050
WA
Other
Enumeration date
10/10/2008
Last updated
01/24/2025
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