| NPI | 1083968879 |
|---|---|
| Doing Business As | PROVIDENCE NORTH EAST WASHINGTON MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Of Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2024-06-20 |