PROVIDENCE HEALTH & SERVICES-WA

EVERETT, WA
NPI1164673554
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Asst Secretary Enrollment
425-525-5392
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2008-10-04
Last Update Date2018-01-11
Business Address
PROVIDENCE HEALTH & SERVICES-WA
1509 CALIFORNIA ST
EVERETT, WA 98201-3540
Phone number: 425-297-5770
Mailing Address
PROVIDENCE HEALTH & SERVICES-WA
PO BOX 3369
PORTLAND, OR 97208-3369
Phone number:
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