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Organization

PROVIDENCE HEALTH AND SERVICES

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
2001 LIND AVENUE SW, SUITE 240, SEATTLE, WA 98124-1439
(425) 525-6717
Mailing address
PO BOX 31001 - 4110, PASADENA, CA 91110-4110
(425) 525-6717

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
10/26/2010
Last updated
03/06/2026
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