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Organization

PROVIDENCE HEALTH & SERVICES-WA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASST SECRETARY-ENROLLMENT)
(425) 358-9786
Entity
Organization

Contact information

Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7304
(425) 258-7136
Mailing address
PO BOX 3369, PORTLAND, OR 97208-3369

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Enumeration date
10/07/2008
Last updated
07/25/2025
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