Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence Medical Group Lab- Physicians Clinic
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
820 S MCCLELLAN ST STE LL10, SPOKANE, WA 99204-2446
(509) 353-4260
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
05/05/2025
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