Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
PMG NW WA Gynecologic Oncology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1717 13TH STREET, SUITE 300, EVERETT, WA 98201-1621
(425) 297-5660
(425) 297-5505
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
(425) 358-9786
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
WA
Other
Enumeration date
02/18/2009
Last updated
05/09/2025
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