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Organization

PROVIDENCE HEALTH & SERVICES WASHINGTON

Active
Other names
Walter J and Ermalee Hickel House
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization

Contact information

Practice address
3967 PIPER ST, ANCHORAGE, AK 99508-4686
(907) 212-4100
Mailing address
PO BOX 4048, PORTLAND, OR 97208-4048

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary

Other

Enumeration date
02/27/2007
Last updated
05/14/2025
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