Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence Rochester Family Medicine (FFS)
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
18313 PAULSONST SW, SUITE A, ROCHESTER, WA 98579-9262
(360) 273-8818
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
(425) 525-6715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
05/13/2025
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