PROVIDENCE HEALTH & SERVICES - WASHINGTON

MARYSVILLE, WA
NPI1063663458
Doing Business AsPMG NW WA MARYSVILLE CLINIC
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
208000000X Pediatrics
208D00000X General Practice
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2008-10-04
Last Update Date2025-05-12
Business Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
11603 STATE AVE SUITE G
MARYSVILLE, WA 98271-8465
Phone number: 360-658-6800
Mailing Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
PO BOX 31001-4114
PASADENA, CA 91110-4114
Phone number: 425-358-9786