Organization
PROVIDENCE IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3340 PROVIDENCE DR, SUITE 101, ANCHORAGE, AK 99508-4642
(907) 212-3182
Mailing address
PO BOX 4567, PORTLAND, OR 97208-4567
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
05/14/2025
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