Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence ElderPlace - Seattle
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1801 LIND AVE SW STE W2-17, RENTON, WA 98057-3368
(206) 320-5325
Mailing address
1801 LIND AVE SW STE W2-17, RENTON, WA 98057-3368
(206) 320-5325
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
05/16/2025
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