Organization
PROVIDENCE ST. PETER HOSPITAL
Active
Other names
Providence St. Peter Hospital PAC LAB
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
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(800) 752-8994
Mailing address
PO BOX 2670, SPOKANE, WA 99220-2670
(800) 752-8994
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
07/31/2025
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